person
Dr. Kenneth Wayne Johnson, DDS
Pediatric Dentist in Tupelo, Mississippi
NPI 1497836704

Kenneth Wayne Johnson is a Pediatric Dentist based in Tupelo, MS and is specialized in Pediatric Dentistry. Kenneth Wayne Johnson practices in Tupelo, MS and has the professional credentials of DDS. The NPI Number for Kenneth Wayne Johnson is 1497836704 and holds a License No. PEDO29796 (Mississippi).

The current practice location address for Kenneth Wayne Johnson is 704 Hillcrest, Tupelo, MS and can be reached out via phone at 662-840-8540 and via fax at 662-840-0629.

Location: 704 Hillcrest, Tupelo, MS, 38801-2215
person
Provider Profile Details
NPI Number
1497836704
Provider Name
Kenneth Wayne Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
704 Hillcrest, Tupelo, MS, 38801-2215
Phone Number
662-840-8540
Fax Number
662-840-0629
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
704 Hillcrest
City
State
Zip
38804
Phone Number
662-840-8540
Fax Number
662-840-0629
person
Provider Business Mailing Address Details
Address
704 Hillcrest
City
State
Zip
38804
Phone Number
662-840-8540
Fax Number
662-840-0629
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
PEDO29796 (Mississippi)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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