Dr. Kenneth Wayne Johnson is a Tupelo, Mississippi based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kenneth Wayne Johnson is
PEDO29796 for Pediatric Dentistry in Mississippi. His current practice location is
704 Hillcrest, Tupelo. Patients can reach him at
662-840-8540.
Dr. Kenneth Wayne Johnson provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Kenneth Wayne Johnson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Kenneth Wayne Johnson |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 704 Hillcrest, Tupelo,
Mississippi, 38804 |
| Phone: | 662-840-8540 |
| Fax: | 662-840-0629 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1497836704 |
| NPI Enumeration Date: | 17 Oct, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth Wayne Johnson are as mentioned below.
| License Number | Specialization | State | Status | |
| PEDO29796 | Pediatric Dentistry | Mississippi | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1407 Mitts Dr,
Tupelo, Mississippi |
| Zip: | 38801-2215 |
| Phone Number: | 662-840-8540 |
| Fax Number: | 662-840-0629 |
Patients can reach Dr. Kenneth Wayne Johnson at
704 Hillcrest, Tupelo, Mississippi or can
call to book an appointment on 662-840-8540.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.