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Jeff Johnson, D.M.D
NPI 1174622807 · on the registry since 2006 · sole proprietor
Practice
- Address
- 507 E Church St
Booneville, MS 38829 - Phone
- (662) 728-2123
- Fax
- (662) 728-1748
- Organisation at this address
- Booneville General Dentistry, P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi