Provider Demographics
NPI:1215949904
Name:JOHNSON, WILLIAM FRANKLIN (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FRANKLIN
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 EXECUTIVE DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-7912
Mailing Address - Country:US
Mailing Address - Phone:423-870-1818
Mailing Address - Fax:423-870-1882
Practice Address - Street 1:1013 EXECUTIVE DR
Practice Address - Street 2:SUITE 103
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-7912
Practice Address - Country:US
Practice Address - Phone:423-870-1818
Practice Address - Fax:423-870-1882
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000082371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice