Dr. Charles E Johnson Jr., DMD
Dentist in Tuscaloosa, AL. Individual provider (NPI-1).
NPI number1346356599
StatusActive
Last updated in NPPESMay 9, 2008
Details
- NPI
- 1346356599
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles E Johnson Jr.
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2006
- Last updated
- May 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 3516 | AL | Yes |
Practice location
Bryce Hospital200 University Blvd
Tuscaloosa, AL 35401-1205
Phone 205-759-0799 · Fax 205-759-0845
Mailing address
200 University BlvdTuscaloosa, AL 35401-1205
Phone 205-759-0799 · Fax 205-759-0845
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