| Thomas A. Johnson, Dds | |
|
1360 Upper Hembree Rd Suite 201 Roswell GA 30076-1146 | |
| (770) 475-3361 | |
| (770) 664-4431 |
| Full Name | Thomas A. Johnson, Dds |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Radiology |
| Location | 1360 Upper Hembree Rd, Roswell, Georgia |
| Authorized Official Name and Position | Thomas Anthony Johnson (PRESIDENT) |
| Authorized Official Contact | 7704753361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas A. Johnson, Dds 1360 Upper Hembree Rd Suite 201 Roswell GA 30076-1146 Ph: (770) 475-3361 | Thomas A. Johnson, Dds 1360 Upper Hembree Rd Suite 201 Roswell GA 30076-1146 Ph: (770) 475-3361 |
| NPI Number | 1699945311 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 07/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699945311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | DN007750 (Georgia) | Secondary |
| 1223X0008X | Dentist - Oral And Maxillofacial Radiology | DN0007750 (Georgia) | Primary |
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