Austin Johnson DDS Pllc

NPI #1720722135 in Madisonville, Tennessee

Provider Information

NPI Number: 1720722135
Entity Type: Organization
Organization Name: Austin Johnson DDS Pllc
Primary Specialty: Dentist
Enumeration Date: Apr 21, 2022
Last Updated: Apr 21, 2022

Practice Location

Address: 210 WARREN ST
City: Madisonville
State: Tennessee
ZIP Code: 37354-1090
Phone: (901) 643-7576

Authorized Official

Name: AUSTIN JOHNSON
Title: DENTIST
Phone: (901) 643-7576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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