Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386762987 Individual Practitioner Male Practitioner

Dr. Eddie Prince Johnson , DMD

Dentist • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Eddie Johnson, DMD is a registered healthcare professional specializing in Dentist in Augusta, GA. Practice services are available at 27 5 5 BARTON CHAPEL ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

27 5 5 Barton Chapel Road

Augusta, GA 309069579

Telephone 7067909179
Associated Practice Facility / Clinic
🏢 Eddie P Johnson Iii, Dmd, Pc Facility NPI 1811266646

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
103 Specialists

Practicing in Augusta, GA (2164 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License GA 9685

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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00254526C (GA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 10, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 10, 2011

Registered at 27 5 5 BARTON CHAPEL ROAD, AUGUSTA, GA 309069579 (Tel: 7067909179)

📍
Updated Business Mailing Address November 10, 2011

Registered at 3400 HEATHER DR, AUGUSTA, GA 309092795 (Tel: 7077365421)

👤
Provider Name / Credentials Updated November 10, 2011

Recorded as EDDIE JOHNSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2011

Dentist (License #9685 in GA)

🟢
Initial NPI Registration & Enumeration March 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386762987
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2007
Last Update: November 10, 2011
Sole Proprietor: No

Mailing Address

3400 Heather Dr

Augusta, GA 309092795

Phone: 7077365421

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.