| Malrie E. Johnson Dds. Pa. | |
|
603 Ayersville Rd. Mayodan NC 27027 | |
| (336) 427-8544 | |
| Not Available |
| Full Name | Malrie E. Johnson Dds. Pa. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 603 Ayersville Rd., Mayodan, North Carolina |
| Authorized Official Name and Position | Malrie Emmitt Johnson (PRES/CEO) |
| Authorized Official Contact | 3364278544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Malrie E. Johnson Dds. Pa. 603 Ayersville Rd. Mayodan NC 27027 Ph: (336) 427-8544 | Malrie E. Johnson Dds. Pa. 603 Ayersville Rd. Mayodan NC 27027 Ph: (336) 427-8544 |
| NPI Number | 1033388152 |
|---|---|
| Provider Enumeration Date | 02/22/2008 |
| Last Update Date | 02/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033388152 | NPI | - | NPPES |
| 8994643 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5024 (North Carolina) | Primary |