Organization
MICHAEL R. JOHNSON, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RADIS JOHNSON DDS (OWNER)
(423) 877-1373
Entity
Organization
Contact information
Practice address
4843 HIXSON PIKE, HIXSON, TN 37343-4478
(423) 877-1373
(423) 877-1491
Mailing address
4843 HIXSON PIKE, HIXSON, TN 37343-4478
(423) 877-1373
(423) 877-1491
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7045
TN
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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