ANDREW M JOHNSON DDS PA NPI 1346479987

NPI Information

ANDREW M JOHNSON DDS, PA is a pediatric dentistry dentist in Charlotte, NC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. ANDREW M JOHNSON DDS, PA NPI is 1346479987. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southpark Pediatric Dentistry.

The provider's business location address is:

2700 COLTSGATE RD
SUITE 204
CHARLOTTE, NC
ZIP 28211-799
Phone: (704) 749-5700
Fax: (704) 749-5701

The provider's authorized official is Andrew M Johnson .
The authorized official title is President/owner and has the following contact phone number (704) 749-5700.

The enumeration date for this NPI number is 7/3/2009 and was last updated on 7/3/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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