Search › North Carolina › 1223G0001X
Randy Johnson, DMD
NPI 1871716225 · on the registry since 2007
Practice
- Address
- 3053 Freedom Dr
Charlotte, NC 28208 - Phone
- (704) 393-3911
- Fax
- (704) 392-1096
- Organisation at this address
- Michael A Derose Dds Pa
Rafael Rivera, Jr., Dds, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- SC, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-08-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina