Individual
DR. JUSTICE B JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1108 WHITEHALL ST, JACKSON, TN 38301-3730
(731) 256-0233
Mailing address
1108 WHITEHALL ST, JACKSON, TN 38301-3730
(731) 256-0233
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12693
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2022
Last updated
01/16/2026
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