Individual
CANNON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4323 CHAMPION HILL ST, COLUMBIA, SC 29207-6022
(803) 751-6213
Mailing address
4050 BEVERLY HILLS DR, PEGRAM, TN 37143-2206
(615) 779-3091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-00237
KY
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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