Organization
LAKEWAY DENTAL CENTER PLLC
Active
Other names
Dana M. Johnson DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA M JOHNSON DMD (DENTIST)
(865) 993-2225
Entity
Organization
Contact information
Practice address
1277 HIGHWAY 11W, BEAN STATION, TN 37708-5810
(865) 993-2225
(865) 993-2225
Mailing address
1277 HIGHWAY 11W, BEAN STATION, TN 37708-5810
(865) 993-2225
(865) 993-2225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS9208
TN
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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