Individual
MICHELLE M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDSMS
Contact information
Practice address
6551 STAGE OAKS DR, SUITE 2, BARTLETT, TN 38134-3895
(901) 386-5800
(901) 386-9604
Mailing address
6551 STAGE OAKS DR, SUITE 2, BARTLETT, TN 38134-3895
(901) 386-5800
(901) 386-9604
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS0000004811
TN
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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