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Dr. Eric Johnston, DDS

Dentist in Ooltewah, TN. Individual provider (NPI-1).

NPI number1366950271
StatusActive
Last updated in NPPESJan 12, 2018

Details

NPI
1366950271
Entity type
Individual (NPI-1)
Name
Dr. Eric Johnston
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Jan 12, 2018
Last updated
Jan 12, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist0401415909VAYes

Practice location

8720 Walnut Leaf Dr
Ooltewah, TN 37363-9337

Phone 423-488-9484 · Fax 423-488-9484

Mailing address

8720 Walnut Leaf Dr
Ooltewah, TN 37363-9337

Phone 423-488-9484

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