Organization
C JOHNSON DDS PLLC
Active
Other names
iSmile Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY CHAD JOHNSON DDS (OWNER)
(704) 743-7278
Entity
Organization
Contact information
Practice address
8840 BLAKENEY PROFESSIONAL DR STE 202, CHARLOTTE, NC 28277-6718
(704) 688-0070
Mailing address
8111 CONCORD MILLS BLVD STE 209, CONCORD, NC 28027-6468
(704) 979-3333
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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