Individual provider · Type 1 NPI

Cannon Johnson, DMD

General Practice Dentistry · Columbia, SC

NPI number 1003733007 Active

Practice location

4323 Champion Hill St
Columbia, SC 29207-6022

Mailing address

4050 Beverly Hills Dr
Pegram, TN 37143-2206

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD-00237 (KY)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1003733007

Cannon Johnson, DMD's National Provider Identifier is 1003733007, issued on Jul 1, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Columbia, SC. The record was last updated on Jul 1, 2026.