Organization
ANDREW M JOHNSON DDS, PA
Active
Other names
Southpark Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW M JOHNSON DDS (PRESIDENT/OWNER)
(704) 749-5700
Entity
Organization
Contact information
Practice address
2700 COLTSGATE RD, SUITE 204, CHARLOTTE, NC 28211-3799
(704) 749-5700
(704) 749-5701
Mailing address
2700 COLTSGATE RD, SUITE 204, CHARLOTTE, NC 28211-3799
(704) 749-5700
(704) 749-5701
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8388
NC
Other
Enumeration date
07/03/2009
Last updated
07/03/2009
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