Individual
DR. GEORGE DAVID JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2302 CENTER POINT PKWY, CENTER POINT, AL 35215-3608
(205) 853-9170
(205) 271-6856
Mailing address
1900 CRESTWOOD BLVD, STE 211, IRONDALE, AL 35210-2034
(205) 271-6851
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4794
AL
1223G0001X
General Practice Dentistry
DN013305
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009927145
—
AL
05
—
009933952
—
AL
05
—
009976855
—
AL
05
—
199219578A
—
GA
Enumeration date
08/31/2006
Last updated
11/29/2010
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