Individual
ALFRED CASBURN JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1306 OLD FAIRHOPE CT, YORK, SC 29745
(803) 628-1142
(803) 628-5115
Mailing address
PO BOX 195, YORK, SC 29745-0195
(803) 628-1142
(803) 628-5115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3219
SC
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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