Organization
ELBERT L. JOHNSON, D.D.S., M.P.H.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELBERT LEE JOHNSON D.D.S. (DENTIST/OWNER)
(919) 734-3505
Entity
Organization
Contact information
Practice address
804 E ASH ST, GOLDSBORO, NC 27530-3804
(919) 734-3505
(919) 735-1020
Mailing address
PO BOX 187, GOLDSBORO, NC 27533-0187
(919) 734-3505
(919) 735-1020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2419
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902797
—
NC
Enumeration date
07/08/2013
Last updated
07/08/2013
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