Individual
MR. DAVID THOMAS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
117 SULPHUR SPRINGS RD, MURFREESBORO, TN 37129-2117
(615) 895-2710
Mailing address
117 SULPHUR SPRINGS RD, MURFREESBORO, TN 37129-2117
(615) 895-2710
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7261
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3057892
BLUE CROSS BLUE SHIELD ID
TN
01
—
621681497
TAX ID
TN
01
—
7261
STATE LICENSE NUMBER
TN
01
—
985347
UNITED CONCORDIA ID
TN
Enumeration date
04/23/2007
Last updated
07/08/2007
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