Individual
DR. JONATHAN PAUL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
615 W OGLETHORPE HWY, HINESVILLE, GA 31313-4485
(912) 877-3070
Mailing address
615 W OGLETHORPE HWY, HINESVILLE, GA 31313-4485
(912) 877-3070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014324
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
04/27/2011
Last updated
06/19/2013
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