Individual
MARK ANTHONY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1362 N GATEWAY AVE, ROCKWOOD, TN 37854-4108
(865) 354-1220
(865) 354-0112
Mailing address
2229 ROCKINGHAM DR, MARYVILLE, TN 37803-7538
(865) 983-1304
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS0000007193
TN
Other
Enumeration date
11/18/2005
Last updated
09/09/2010
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