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CHARLES D. JOHNSON, DDS
NPI 1629299847
Dentist - General Practice in Booneville, MS

Active since May 02, 2007
607 W CHURCH ST, BOONEVILLE, MS 38829(662) 728-8133(662) 728-6903 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Charles D. Johnson, Dds NPPES

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

CHARLES D. JOHNSON, DDS (NPI 1629299847) is a healthcare organization registered as a general practice in Booneville, Mississippi and active in the NPI registry since May 2007. The organization lists Joan Rorie, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1629299847
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCHARLES D. JOHNSON, DDS
Location Address607 W CHURCH STBooneville, MS 38829-2647
Mailing Address607 W Church StBooneville, MS 38829-2647 · (662) 728-8133 · Fax (662) 728-6903
Phone(662) 728-8133
Fax(662) 728-6903
Organization SubpartNo
Authorized OfficialJoan RorieOffice Manager · (662) 728-8133
Enumeration DateMay 2, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1629299847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
607 W CHURCH ST, Booneville, MS 38829
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Other Identifiers 1

Medicaid00004329MS

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 2

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

DR. CATHERINE JOHNSON MINCY DDS
Dentist (General Practice)
607 W CHURCH ST
BOONEVILLE, MS 38829
Prentiss County (662) 728-5199
CATHERINE JOHNSON MINCY, DDS
Dentist (General Practice)
607 W CHURCH ST
BOONEVILLE, MS 38829
Prentiss County (662) 728-8133

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 Charles D. Johnson, Dds's NPI number?

The NPI number for Charles D. Johnson, Dds is 1629299847. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Charles D. Johnson, Dds located?

Charles D. Johnson, Dds is located at 607 W Church St, Booneville, MS 38829. The listed phone number is (662) 728-8133.

What is Charles D. Johnson, Dds'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 Charles D. Johnson, Dds was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.