Individual
DR. JAMES CLARK JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3606 MEDICAL PARK CT, MOREHEAD CITY, NC 28557-4347
(252) 247-0500
(252) 726-5964
Mailing address
3606 MEDICAL PARK CT, MOREHEAD CITY, NC 28557-4347
(252) 247-0500
(252) 726-5964
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7778
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902WR-89016ER
—
NC
01
—
902WR
BCBS
NC
Enumeration date
12/01/2006
Last updated
04/26/2023
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