Organization
CHARLES D. JOHNSON, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN RORIE (OFFICE MANAGER)
(662) 728-8133
Entity
Organization
Contact information
Practice address
607 W CHURCH ST, BOONEVILLE, MS 38829-2647
(662) 728-8133
(662) 728-6903
Mailing address
607 W CHURCH ST, BOONEVILLE, MS 38829-2647
(662) 728-8133
(662) 728-6903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00004329
—
MS
Enumeration date
05/02/2007
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us