Individual
DR. RACQUEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
108 BENTONS LODGE RD STE A, SUMMERVILLE, SC 29485-6336
(843) 892-1098
(843) 725-1594
Mailing address
108 BENTONS LODGE RD STE A, SUMMERVILLE, SC 29485-6336
(843) 892-1098
(843) 725-1594
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11273
SC
1223P0221X
Pediatric Dentistry
10889
TN
1223P0221X
Pediatric Dentistry
Primary
11320
SC
1223P0221X
Pediatric Dentistry
2901602491
MI
1223P0221X
Pediatric Dentistry
DI022019
NJ
1223P0221X
Pediatric Dentistry
G3-0000497
DE
Other
Enumeration date
12/22/2005
Last updated
02/16/2026
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