# JOHNSON-SHONE DENTISTRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnolia Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467977090
- **Authorized official:** DR. CARMEN ELIZABETH JOHNSON DDS (OWNER)
- **Authorized official phone:** (765) 631-6934

## Contact information

- **Practice address:** 989 N US 31, WHITELAND, IN 46184-1379
- **Practice address phone:** (317) 535-3080
- **Mailing address:** 989 N US 31, WHITELAND, IN 46184-1379
- **Mailing address phone:** (317) 535-3080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2017
- **Last updated:** 07/21/2022