Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH WAYNE JOHNSON, D.D.S.
Active Sole ProprietorDR. KENNETH WAYNE JOHNSON, D.D.S. is a Pediatric Dentistry healthcare provider located in TUPELO, Mississippi. NPI 1497836704 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · TUPELO, MS
Registration Details
- NPI Number
- 1497836704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2006 (19.788072625031 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PEDO29796 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
704 HILLCRESTTUPELO, MS, 38804Browse MS providers · Browse ZIP 38804
- Phone
- 6628408540
- Fax
- 6628400629
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in TUPELO, MS
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD BASCOMB WARRINER III | DDS | 1821191495 |
| DR. TRICE WARRINER SUMNER | DDS | 1649373218 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.