Charles Johnson, DMD
NPI #1164092441 in Summerville, South Carolina
Provider Information
- NPI Number
- 1164092441
- Entity Type
- Individual
- Name
- Charles Johnson, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jun 29, 2021
- Last Updated
- Jun 29, 2021
Practice Location
- Address
- 1720 OLD TROLLEY RD
- City
- Summerville
- State
- South Carolina
- ZIP Code
- 29485-8278
- Phone
- (864) 640-6757
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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