Organization
JOHNSON DENTAL GROUP, LLC
Active
Other names
FAMILY DENTISTRY, JOHN P. JOHNSON, D.D.S.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PAUL JOHNSON D.D.S. (PRSIDENT CEO OF JOHNSON DENTAL GROU)
(912) 877-3070
Entity
Organization
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
Enumeration date
08/03/2006
Last updated
08/22/2020
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