Miles Tyler Johnson, DDS

NPI #1386323343 in Madison, Alabama

Provider Information

NPI Number: 1386323343
Entity Type: Individual
Name: Miles Tyler Johnson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 17, 2023
Last Updated: Jul 17, 2023

Practice Location

Address: 7278 HIGHWAY 72 W
City: Madison
State: Alabama
ZIP Code: 35758-9551
Phone: (256) 217-7815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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