Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497312797 Individual Practitioner Female Practitioner

Krystle Elizabeth Amelia Johnson

Dentist • Jackson, TN

Professional Overview & Biography Verified Profile Summary

Krystle Johnson is a registered healthcare professional specializing in Dentist in Jackson, TN. Practice services are available at 1108 WHITEHALL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1108 Whitehall St

Jackson, TN 383013730

Telephone 7314107161
Associated Practice Facility / Clinic
🏢 West Tennessee Dentistry Pllc Facility NPI 1407343254

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jackson, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.4 Yrs
Regional Practice Density
25 Specialists

Practicing in Jackson, TN (1629 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-19
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TN 12104

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1952043648

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 19, 2023

Registered at 1108 WHITEHALL ST, JACKSON, TN 383013730 (Tel: 7314107161)

📍
Updated Business Mailing Address January 19, 2023

Registered at 1108 WHITEHALL ST, JACKSON, TN 383013730 (Tel: 7314107161)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2023

Dentist (License #12104 in TN)

NPI Profile Active May 29, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2019

Registered at 1005 DR. D.B. TODD JR. BLVD, NASHVILLE, TN 37208 (Tel: 6153276297)

📍
Updated Business Mailing Address May 29, 2019

Registered at 1005 DR. D.B. TODD JR. BLVD, NASHVILLE, TN 37208 (Tel: 6153276082)

👤
Provider Name / Credentials Updated May 29, 2019

Recorded as KRYSTLE JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Krystle Johnson. Be the first to share your experience!

Sign in to leave a review for Krystle Johnson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1497312797
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2019
Last Update: January 19, 2023
Sole Proprietor: No

Mailing Address

1108 Whitehall St

Jackson, TN 383013730

Phone: 7314107161

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.