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SOUTHPARK PEDIATRIC DENTISTRY
NPI 1346479987
Dentist - Pediatric Dentistry in Charlotte, NC

Active since July 03, 2009
2700 COLTSGATE RD, SUITE 204, CHARLOTTE, NC 28211(704) 749-5700(704) 749-5701 Get Directions Write a Review

NPPES record last updated: July 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southpark Pediatric Dentistry NPPES

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

SOUTHPARK PEDIATRIC DENTISTRY (NPI 1346479987) is a healthcare organization registered as a pediatric dentistry in Charlotte, North Carolina and active in the NPI registry since July 2009. The organization lists Andrew M Johnson, President/owner, as its authorized official.

NPPES Registry Identity

NPI1346479987
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameANDREW M JOHNSON DDS, PA
Location Address2700 COLTSGATE RD, SUITE 204Charlotte, NC 28211-3799
Mailing Address2700 Coltsgate Rd, Suite 204Charlotte, NC 28211-3799 · (704) 749-5700 · Fax (704) 749-5701
Phone(704) 749-5700
Fax(704) 749-5701
Organization SubpartNo
Authorized OfficialAndrew M JohnsonPresident/owner · (704) 749-5700
Enumeration DateJuly 3, 2009
✔ NPI 1346479987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NC · 8388
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2700 COLTSGATE RD, Charlotte, NC 28211
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Other Names 1

Doing Business AsSouthpark Pediatric Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

AMY BROOK CONNOLLY FNP
Nurse Practitioner (Family)
2700 COLTSGATE RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 365-3588
COURTNEY WHITLEY
Specialist
2700 COLTSGATE RD, 101
CHARLOTTE, NC 28211
Mecklenburg County (704) 365-3588
DR. CHARLES-THOMAS COOKE DDS, MS
Dentist (Pediatric Dentistry)
2700 COLTSGATE RD, SUITE 204
CHARLOTTE, NC 28211
Mecklenburg County (704) 749-5700

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 Andrew M Johnson Dds, PA's NPI number?

The NPI number for Andrew M Johnson Dds, PA is 1346479987. It was assigned to this organization in the NPPES registry on July 3, 2009. The provider is doing business as Southpark Pediatric Dentistry.

Where is Andrew M Johnson Dds, PA located?

Andrew M Johnson Dds, PA is located at 2700 Coltsgate Rd Suite 204, Charlotte, NC 28211. The listed phone number is (704) 749-5700.

What is Andrew M Johnson Dds, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Andrew M Johnson Dds, PA was last updated on July 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.