Organization
E. P. JOHNSON, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD PATRICK JOHNSON DMD (PRESIDENT)
(704) 536-9214
Entity
Organization
Contact information
Practice address
6708 REGAL OAKS DR, CHARLOTTE, NC 28212-3834
(704) 536-9214
(704) 536-5349
Mailing address
6708 REGAL OAKS DR, CHARLOTTE, NC 28212-3834
(704) 536-9214
(704) 536-5349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3684
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3684
STATE LICENSE NUMBER
NC
Enumeration date
09/20/2006
Last updated
08/02/2007
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