Individual
DR. BRENT CORIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1216 THOMAS ST, MEMPHIS, TN 38107-1703
(901) 525-3800
(901) 525-4040
Mailing address
1216 THOMAS ST, MEMPHIS, TN 38107-1703
(901) 525-3800
(901) 525-4040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8471
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002643
—
TN
Enumeration date
01/12/2007
Last updated
10/07/2014
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