Charles D. Johnson, DDS
NPI #1629299847 in Booneville, Mississippi
Provider Information
- NPI Number
- 1629299847
- Entity Type
- Organization
- Organization Name
- Charles D. Johnson, DDS
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 2, 2007
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 607 W CHURCH ST
- City
- Booneville
- State
- Mississippi
- ZIP Code
- 38829-2647
- Phone
- (662) 728-8133
Authorized Official
- Name
- MRS. JOAN RORIE
- Title
- OFFICE MANAGER
- Phone
- (662) 728-8133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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