Organization
THOMAS A. JOHNSON, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ANTHONY JOHNSON DDS (PRESIDENT)
(770) 475-3361
Entity
Organization
Contact information
Practice address
1360 UPPER HEMBREE RD, SUITE 201, ROSWELL, GA 30076-1146
(770) 475-3361
(770) 664-4431
Mailing address
1360 UPPER HEMBREE RD, SUITE 201, ROSWELL, GA 30076-1146
(770) 475-3361
(770) 664-4431
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DN007750
GA
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
DN0007750
GA
Other
Enumeration date
03/10/2008
Last updated
07/09/2008
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