# THOMAS A. JOHNSON, DDS

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

## Provider details

- **NPI number:** 1699945311
- **Authorized official:** THOMAS ANTHONY JOHNSON DDS (PRESIDENT)
- **Authorized official phone:** (770) 475-3361

## Contact information

- **Practice address:** 1360 UPPER HEMBREE RD, SUITE 201, ROSWELL, GA 30076-1146
- **Practice address phone:** (770) 475-3361
- **Practice address fax:** (770) 664-4431
- **Mailing address:** 1360 UPPER HEMBREE RD, SUITE 201, ROSWELL, GA 30076-1146
- **Mailing address phone:** (770) 475-3361
- **Mailing address fax:** (770) 664-4431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | DN007750 | GA | — |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | DN0007750 | GA | Yes |

## Other

- **Enumeration date:** 03/10/2008
- **Last updated:** 07/09/2008