Individual
DR. CONNOR SCOTT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7476 WATERSIDE LOOP RD STE 100, DENVER, NC 28037-7680
(704) 820-9797
Mailing address
4509 ARGONNE CT, GLEN ALLEN, VA 23060-6443
(804) 252-1976
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12591
NC
1223G0001X
General Practice Dentistry
9594
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/05/2019
Last updated
03/13/2022
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