Organization
J. B. JOHNSONIUS, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J B JOHNSONIUS D.D.S. (DENTIST)
(731) 642-8540
Entity
Organization
Contact information
Practice address
14815 HIGHLAND DR, MC KENZIE, TN 38201-6228
(731) 352-2041
(731) 352-2041
Mailing address
304 DUNLAP ST, PARIS, TN 38242-2501
(731) 642-8540
(731) 642-1943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2619
TN
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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