Individual
DR. KEVIN MCBETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6315 JONATHAN FRANCIS SR RD, SAINT HELENA ISLAND, SC 29920-5310
(843) 987-7400
Mailing address
PO BOX 357, RIDGELAND, SC 29936-2605
(843) 987-7400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10972
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2009
Last updated
12/17/2024
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