Individual
MATTHEW S JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3732 N ROXBORO ST, DURHAM, NC 27704-2983
(919) 471-6622
Mailing address
111 N HILLSBOROUGH AVE, HILLSBOROUGH, NC 27278-2411
(803) 386-5244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10334
NC
1223G0001X
General Practice Dentistry
8558
SC
Other
Enumeration date
06/18/2015
Last updated
05/14/2021
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