DR. Timothy Terell Johnson, DDS

NPI #1316042237 in Canton, Mississippi

Provider Information

NPI Number: 1316042237
Entity Type: Individual
Name: DR. Timothy Terell Johnson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 512 W FULTON ST
City: Canton
State: Mississippi
ZIP Code: 39046-4254
Phone: (601) 855-5885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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