Individual
DR. JEFFREY CHAD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4200 MAIN ST, STE 107, HARRISBURG, NC 28075-7484
(704) 454-5500
Mailing address
4200 MAIN ST, STE 107, HARRISBURG, NC 28075-7484
(704) 454-5500
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8139
NC
Other
Enumeration date
01/21/2008
Last updated
12/03/2009
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