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Mr. Randy Johnson, DMD
General Practice Dentistry in Charlotte, North Carolina
NPI 1871716225

Randy Johnson is a General Practice Dentistry based in Charlotte, NC and is specialized in General Practice. Randy Johnson practices in Charlotte, NC and has the professional credentials of DMD. The NPI Number for Randy Johnson is 1871716225 and holds a License No. 3056 (North Carolina).

The current practice location address for Randy Johnson is 3053 Freedom Dr, Charlotte, NC and can be reached out via phone at 704-393-3911 and via fax at 704-392-1096.

Location: 3053 Freedom Dr, Charlotte, NC, 28208-3859
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871716225
Provider Name
Randy Johnson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3053 Freedom Dr, Charlotte, NC, 28208-3859
Phone Number
704-393-3911
Fax Number
704-392-1096
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z30565 05 SC
5910724 05 NC
institution
Provider Business Practice Location Address Details
Address
3053 Freedom Dr
City
Charlotte
State
North Carolina
Zip
28208-3859
Phone Number
704-393-3911
Fax Number
704-392-1096
person
Provider Business Mailing Address Details
Address
3053 Freedom Dr
City
Charlotte
State
North Carolina
Zip
28208-3859
Phone Number
704-393-3911
Fax Number
704-392-1096
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
3056 (South Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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