Individual
DR. MAYNARD KENNETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1841 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 556-1050
(843) 766-5117
Mailing address
339 BAYVIEW DR, MT PLEASANT, SC 29464-3419
(843) 971-9585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC 2659
SC
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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