DR. Wesley Joseph Johnson, DDS

NPI #1154965549 in Lakeland, Tennessee

Provider Information

NPI Number: 1154965549
Entity Type: Individual
Name: DR. Wesley Joseph Johnson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 29, 2019
Last Updated: Jun 15, 2022

Practice Location

Address: 8950 US HIGHWAY 64 STE 108
City: Lakeland
State: Tennessee
ZIP Code: 38002-4566
Phone: (901) 308-5952

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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