G Terry Johnson DDS PA
Organization Active NPI Dentist · Sparta, NC
NPI 1497829758 · NPPES record last updated Mar 30, 2012
Key facts
- NPI
- 1497829758
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 200001371089 (NC)
- Legal business name
- G TERRY JOHNSON DDS PA
- Practice address
- 146 Doctors St
Sparta, NC 28675 - Phone
- (336) 372-8299
- Fax
- (336) 372-2291
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. G Terry Johnson, DDS
- Title
- Owner
- Phone
- (336) 372-8299
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 200001371089 | NC | Yes |
Addresses
Primary practice location
146 Doctors St
Sparta, NC 28675
Mailing address
PO Box 98
146 Doctors St
Sparta, NC 28675
Phone (336) 372-8299
Other providers in Sparta, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2012. 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.