Malrie E. Johnson DDS. PA.
Organization Active NPI Dental Clinic/Center · Mayodan, NC
NPI 1033388152 · NPPES record last updated Feb 22, 2008
Key facts
- NPI
- 1033388152
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 5024 (NC)
- Legal business name
- MALRIE E. JOHNSON DDS. PA.
- Practice address
- 603 Ayersville Rd.
Mayodan, NC 27027 - Phone
- (336) 427-8544
- NPI assigned
- Feb 22, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Malrie Emmitt Johnson, DDS
- Title
- Pres/Ceo
- Phone
- (336) 427-8544
Practitioners 2
-
Nurica Nicole Good, DDS
National Provider Directory
Locations
603 S Ayersville Rd
Mayodan, NC 27027
Phone (336) 427-8544
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 5024 | NC | Yes |
Addresses
Primary practice location
603 Ayersville Rd.
Mayodan, NC 27027
Mailing address
603 Ayersville Rd.
Mayodan, NC 27027
Phone (336) 427-8544
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8994643 | Medicaid | NC |
Other providers in Mayodan, NC
- Yen Thi Hong Le
- Christopher Nou Lee
- Lineberry Chiropractic, P.a.
- Keith Harden Lineberry I
- Pamela D. Love
- Davina D Manuel
- Maureen E Burns
- Joshua Lee Moore
- Morehead Memorial Hospital
- Kristen Noonkester
All providers in Mayodan, NC · Dental Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.