Individual
ALICIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2090 OXFORD GLN STE 500, FRANKLIN, TN 37067-8695
(615) 595-5959
Mailing address
9471 CALAIS CT, BRENTWOOD, TN 37027-2608
(615) 775-6000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11967
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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