J. B. Johnsonius, D.d.s.

NPI #1588810121 in Mc Kenzie, Tennessee

Provider Information

NPI Number: 1588810121
Entity Type: Organization
Organization Name: J. B. Johnsonius, D.d.s.
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 14, 2008
Last Updated: Aug 14, 2008

Practice Location

Address: 14815 HIGHLAND DR
City: Mc Kenzie
State: Tennessee
ZIP Code: 38201-6228
Phone: (731) 352-2041

Authorized Official

Name: J B JOHNSONIUS, D.D.S.
Title: DENTIST
Phone: (731) 642-8540

Specialties & Taxonomy Codes

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

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