Individual
CAITLYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1125 N MAIN ST, FOUNTAIN INN, SC 29644-1322
(904) 563-2491
Mailing address
4 ALDERSHOT WAY, SIMPSONVILLE, SC 29681-4375
(904) 563-2491
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10500
SC
Other
Enumeration date
06/05/2023
Last updated
03/17/2026
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