Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003733007 Individual Practitioner Male Practitioner

Dr. Cannon Johnson , DMD

Dentist - General Practice • Columbia, SC

Professional Overview & Biography Verified Profile Summary

Dr. Cannon Johnson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Columbia, SC. Practice services are available at 4323 CHAMPION HILL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4323 Champion Hill St

Columbia, SC 292076022

Telephone 8037516213

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Columbia, SC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
187 Specialists

Practicing in Columbia, SC (1873 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

CMS Verified: 2026-07-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KY D-00237

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners
Dr. Herbert Mckinney , DMD

Dentist - General Practice

NPI 1013991660

Doctor of Dental Medicine

Dr. Drew Farmer , DMD

Dentist - General Practice

NPI 1093152670

Doctor of Dental Medicine

Dr. Jeffrey Hodd , DDS

Dentist - Prosthodontics

NPI 1184735839

Doctor of Dental Surgery

Dr. Anthony Joyce , DDS

Dentist - Endodontics

NPI 1205814209

Doctor of Dental Surgery

Dr. Mohamad El Samad , DMD

Dentist - General Practice

NPI 1255690707

Doctor of Dental Medicine

Dr. Steven Tuggle , DMD

Dentist - Endodontics

NPI 1275503773

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 01, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2026

Registered at 4323 CHAMPION HILL ST, COLUMBIA, SC 292076022 (Tel: 8037516213)

📍
Updated Business Mailing Address July 01, 2026

Registered at 4050 BEVERLY HILLS DR, PEGRAM, TN 371432206 (Tel: 6157793091)

👤
Provider Name / Credentials Updated July 01, 2026

Recorded as CANNON JOHNSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2026

Dentist (License #D-00237 in KY)

🟢
Initial NPI Registration & Enumeration July 01, 2026

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: 1003733007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2026
Last Update: July 01, 2026
Sole Proprietor: No

Mailing Address

4050 Beverly Hills Dr

Pegram, TN 371432206

Phone: 6157793091

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.