Individual
JOHN PAUL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
615 W. OGLETHORPE HWY, HINESVILLE, GA 31313
(912) 877-3070
(912) 877-3082
Mailing address
P. O. BOX 859, HINESVILLE, GA 31310
(912) 877-3070
(912) 877-3082
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010850
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1469927
UNITED CONCORDIA
PA
01
—
809886
UNITED CONCORDIA
PA
Enumeration date
08/04/2006
Last updated
07/08/2007
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