MEDICARE: DR. AMBER BIGHAM JOHNSON D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	8867	TN

General Provider Information

NPI Number	:	1700041761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMBER BIGHAM JOHNSON D.D.S.

Provider Business Mailing Address
First Line	:	4020 HUGHES XING
Second Line	:	SUITE 140
City	:	FRANKLIN
State	:	TN
Zip	:	37064-1469
Country	:	US
Telephone Number	:	615-435-3274
Fax Number	:	615-435-3294

Provider Business Practice Location Address
First Line	:	4020 HUGHES XING
Second Line	:	SUITE 140
City	:	FRANKLIN
State	:	TN
Zip	:	37064-1469
Country	:	US
Telephone Number	:	615-435-3274
Fax Number	:	615-435-3294

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2008
Last Update Date	:	02/04/2015

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