Individual provider · Type 1 NPI

Keandra Stewart-Johnson

Dentist · Columbia, SC

NPI number 1417709239 Active

Practice location

460 Killian Rd Ste 1
Columbia, SC 29203-9742

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X11607 (SC)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1417709239

Keandra Stewart-Johnson's National Provider Identifier is 1417709239, issued on Apr 4, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Columbia, SC. The record was last updated on Oct 8, 2026.