Molly Willison Johnson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN015702 Issued in GA

Practice address

3951 Mary Eliza Trce NW Ste 200
Marietta, GA 30064-1078

Phone

(770) 425-4001

Fax

(770) 425-7636

NPI assigned

Jun 21, 2018

Last updated

Feb 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Molly Elizabeth Willison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael H Mulkey, DMD PC

  dba Lost Mountain Dental @ Due West

  • General Practice Dentistry
  • Marietta, GA
  • NPI 1245760859
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1942794987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3951 MARY ELIZA TRCE NW STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641078",
            "telephone_number": "770-425-4001",
            "fax_number": "770-425-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 MARY ELIZA TRCE NW STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641078",
            "telephone_number": "770-425-4001",
            "fax_number": "770-425-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MOLLY",
        "middle_name": "WILLISON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "WILLISON",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lonnie Johnson
• Mariah Johnson, RN
• Martin Johnson, PA
• Michael Johnson, SA-C
• Michael Seth Johnson
• Nicholas D Johnson, D.M.D.
• Nicole Heather Johnson
• Opal Johnson, RBT
• Paige Johnson
• Patricia Antonia Johnson, MSSW

• Dentist in Marietta, GA
• Providers in Marietta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.