Dr Charles L Johnson, DDS | |
98 Broad St. Sw, Atlanta, GA 30303 | |
(404) 688-7574 | |
(404) 688-7578 |
Full Name | Dr Charles L Johnson |
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Gender | Male |
Speciality | Dentist - General Practice |
Location | 98 Broad St. Sw, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710108204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 07441 (Georgia) | Primary |
Entity Name | Grady Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
Mailing Address | Practice Location Address |
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Dr Charles L Johnson, DDS 98 Broad St. Sw, Atlanta, GA 30303 Ph: (404) 688-7574 | Dr Charles L Johnson, DDS 98 Broad St. Sw, Atlanta, GA 30303 Ph: (404) 688-7574 |
Dr. Walter Fuller Young, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2265 Cascade Rd Sw, Atlanta, GA 30311 Phone: 404-753-4753 Fax: 404-753-4228 | |
Stanley G Carter, DDS Dentist Medicare: Medicare Enrolled Practice Location: 75 Marietta St Nw, Suite 100, Atlanta, GA 30303 Phone: 404-577-0868 | |
Dr. Jesse Hader, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3648 Peachtree Rd Ne, Penthouse 4-s, Atlanta, GA 30319 Phone: 404-842-1196 Fax: 404-842-1198 | |
Dr. Manjeet Kaur Singh, Dentist Medicare: Medicare Enrolled Practice Location: 2910 N Druid Hills Rd Ne, Suite B, Atlanta, GA 30329 Phone: 404-633-4030 Fax: 404-633-1687 | |
Dr. Alisa Jeannette Raglin, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1211 Tuckawanna Dr Sw, Atlanta, GA 30311 Phone: 404-472-0233 Fax: 404-472-0235 | |
Maheshvar Patel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2960 Hardman Ct Ne, Atlanta, GA 30305 Phone: 404-261-8880 | |
Dr. J. Walker Love, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1816 Independence Sq, Suite B, Atlanta, GA 30338 Phone: 770-399-9199 |