Healthcare Provider Details

I. General information

NPI: 1699743013
Provider Name (Legal Business Name): JOHNSON & MORRIS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 09/25/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 WAKEFIELD PINES DRIVE SUITE 110
RALEIGH NC
27614
US

IV. Provider business mailing address

2800 WAKEFIELD PINES DRIVE SUITE 110
RALEIGH NC
27614
US

V. Phone/Fax

Practice location:
  • Phone: 919-570-0180
  • Fax: 919-570-0280
Mailing address:
  • Phone: 919-570-0180
  • Fax: 919-570-0280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. EUPHEMIA LAREE JOHNSON
Title or Position: FOUNDING PEDIATRIC DENTIST AND CO-O
Credential: DDS, MS, PLLC
Phone: 919-770-8833