National Provider Identifier Database

EDDIE P JOHNSON III DMD PC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

EDDIE P JOHNSON III, DMD, PC
2755 BARTON CHAPEL RD
AUGUSTA, GA30906
Phone: 706-790-9179
Fax: 706-790-3408
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for EDDIE P JOHNSON III, DMD, PC

NPI Number 1811266646
Legal business name
LBN
EDDIE P JOHNSON III, DMD, PC
Authorized official EDDIE JOHNSON - (DENTIST)
Entity Organization
Organization subpart No
Enumeration date 12/23/2011
Last updated 12/23/2011 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 009685
  • GA Medicaid: 00254526C

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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