# J. B. JOHNSONIUS, D.D.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588810121
- **Authorized official:** J B JOHNSONIUS D.D.S. (DENTIST)
- **Authorized official phone:** (731) 642-8540

## Contact information

- **Practice address:** 14815 HIGHLAND DR, MC KENZIE, TN 38201-6228
- **Practice address phone:** (731) 352-2041
- **Practice address fax:** (731) 352-2041
- **Mailing address:** 304 DUNLAP ST, PARIS, TN 38242-2501
- **Mailing address phone:** (731) 642-8540
- **Mailing address fax:** (731) 642-1943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2619 | TN | Yes |

## Other

- **Enumeration date:** 08/14/2008
- **Last updated:** 08/14/2008