Individual
DR. JOSEPH JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4299 ELVIS PRESLEY BLVD, MEMPHIS, TN 38116-6435
(901) 346-3257
(901) 346-3258
Mailing address
4299 ELVIS PRESLEY BLVD, MEMPHIS, TN 38116-6435
(901) 346-3257
(901) 346-3258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS- 4061
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XJ19
BLUE CROSS BLUE SHIELD OF
TN
Enumeration date
08/09/2006
Last updated
07/08/2007
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