Organization
PLEASANT FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY R JOHNSON DDS (V PRESIDENT)
(845) 881-8881
Entity
Organization
Contact information
Practice address
1204 TWO ISLAND CT, MT PLEASANT, SC 29466
(843) 881-8881
(843) 881-7828
Mailing address
1204 TWO ISLAND CT, MT PLEASANT, SC 29466
(843) 881-8881
(843) 881-7828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
SC
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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