Mr. Randy Johnson is a Charlotte, North Carolina based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mr. Randy Johnson is 8902 for General Practice Dentistry in North Carolina. His current practice location is 3053 Freedom Dr, Charlotte. Patients can reach him at 704-393-3911.
Mr. Randy Johnson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mr. Randy Johnson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mr. Randy Johnson
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
3053 Freedom Dr, Charlotte, North Carolina, 28208-3859
Phone:
704-393-3911
Fax:
704-392-1096
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1871716225
NPI Enumeration Date:
11 Apr, 2007
NPI Last Update On:
06 Aug, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Randy Johnson are as mentioned below.
License Number
Specialization
State
Status
8902
General Practice Dentistry
North Carolina
Primary
3056
General Practice Dentistry
South Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Randy Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
Z30565
Medicaid
South Carolina
5910724
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3053 Freedom Dr, Charlotte, North Carolina
Zip:
28208-3859
Phone Number:
704-393-3911
Fax Number:
704-392-1096
Patients can reach Mr. Randy Johnson at 3053 Freedom Dr, Charlotte, North Carolina or can call to book an appointment on 704-393-3911. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.