Organization
DAVID JOHNSON DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WAYNE JOHNSON D.D.S. (PRESIDENT)
(910) 938-4333
Entity
Organization
Contact information
Practice address
3301 HENDERSON DR, JACKSONVILLE, NC 28546-5231
(910) 938-4333
Mailing address
3301 HENDERSON DR, JACKSONVILLE, NC 28546-5231
(910) 938-4333
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6572
NC
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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