Individual
DR. WAYNE LOFTON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
401 W MAIN ST, SUITE 101, LEBANON, TN 37087-3584
(615) 444-2034
(615) 449-6206
Mailing address
401 W MAIN ST, SUITE 101, LEBANON, TN 37087-3584
(615) 444-2034
(615) 449-6206
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS-1837
TN
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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