Dr. Patrick L Johnson, D.D.S.
Dentist, Periodontics in Greenville, NC. Individual provider (NPI-1).
NPI number1699844522
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1699844522
- Entity type
- Individual (NPI-1)
- Name
- Dr. Patrick L Johnson
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 6573 | NC | Yes |
Practice location
108 Oakmont DrGreenville, NC 27858-5936
Phone 252-756-1456 · Fax 252-317-8335
Mailing address
3314 Edwards CtGreenville, NC 27858-6097
Phone 252-756-8971 · Fax 252-317-8335
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All 10 Periodontics providers in Greenville · All 7,137 providers in Greenville
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