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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

CANNON JOHNSON DMD
NPI 1003733007
Dentist - General Practice in Columbia, SC

Active since July 01, 2026
4323 CHAMPION HILL ST, COLUMBIA, SC 29207(803) 751-6213 Get Directions Write a Review

NPPES record added: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cannon Johnson Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANNON JOHNSON DMD (NPI 1003733007) is an individual general practice provider in Columbia, South Carolina, licensed in Kentucky (D-00237) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1003733007
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameCANNON JOHNSONCredential: DMD
Location Address4323 CHAMPION HILL STColumbia, SC 29207-6022
Mailing Address4050 Beverly Hills DrPegram, TN 37143-2206 · (615) 779-3091
Phone(803) 751-6213
Sole ProprietorNo
Enumeration DateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1003733007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · D-00237
Definition

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.

4323 CHAMPION HILL ST, Columbia, SC 29207
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS RYAN SHEALY DMD
Military Health Care Provider
4323 CHAMPION HILL ST
COLUMBIA, SC 29207
Richland County (803) 751-0677
DR. SYLVESTER ADU BOAHENE DDS
Dentist
4323 CHAMPION HILL ST
COLUMBIA, SC 29207
Richland County (803) 751-1809
DR. JAI-IK CHO D.M.D
Dentist (Oral and Maxillofacial Surgery)
4323 CHAMPION HILL ST
COLUMBIA, SC 29207
Richland County (803) 751-5688
DR. COLE CARSTEN BECKER DDS
Dentist
4323 CHAMPION HILL ST
COLUMBIA, SC 29207
Richland County (803) 751-1624
DR. MARK DOMONDON DMD
Dentist (General Practice)
4323 CHAMPION HILL ST
COLUMBIA, SC 29207
Richland County (803) 751-1624
REUBEN LUCERO DDS
Dentist (General Practice)
4323 CHAMPION HILL ST
COLUMBIA, SC 29207
Richland County (803) 751-1624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cannon Johnson's NPI number?

The NPI number for Cannon Johnson is 1003733007. It was assigned to this individual provider in the NPPES registry on July 1, 2026.

Where is Cannon Johnson located?

Cannon Johnson practices at 4323 Champion Hill St, Columbia, SC 29207. The listed phone number is (803) 751-6213.

What is Cannon Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Cannon Johnson was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.