Individual
DR. MARY H. JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
121 S WASHINGTON AVE, COOKEVILLE, TN 38501-3547
(931) 528-6547
(931) 528-3895
Mailing address
3642 LAKESHORE DR, COOKEVILLE, TN 38506-6277
(931) 526-6237
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3815
TN
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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