# LAKEWAY DENTAL CENTER PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Dana M. Johnson DMD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649576190
- **Authorized official:** DR. DANA M JOHNSON DMD (DENTIST)
- **Authorized official phone:** (865) 993-2225

## Contact information

- **Practice address:** 1277 HIGHWAY 11W, BEAN STATION, TN 37708-5810
- **Practice address phone:** (865) 993-2225
- **Practice address fax:** (865) 993-2225
- **Mailing address:** 1277 HIGHWAY 11W, BEAN STATION, TN 37708-5810
- **Mailing address phone:** (865) 993-2225
- **Mailing address fax:** (865) 993-2225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS9208 | TN | Yes |

## Other

- **Enumeration date:** 02/01/2011
- **Last updated:** 02/01/2011