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Active NPI 1457040693 Individual Practitioner Female Practitioner

Kassandra Lorena Johnson

Dentist - General Practice • Clinton, NC

Professional Overview & Biography Verified Profile Summary

Kassandra Johnson is a registered healthcare professional specializing in Dentist - General Practice in Clinton, NC. Practice services are available at 320 NORTHEAST BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

320 Northeast Blvd

Clinton, NC 283282424

Telephone 9105960606
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Clinton, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
6 Specialists

Practicing in Clinton, NC (4047 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: 2025-07-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NC 14303

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

3 Associated Practitioners
NPI 1225317175

Doctor of Dental Surgery

NPI 1366000481

Doctor of Dental Medicine

NPI 1982939203

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 07, 2025

Registered at 320 NORTHEAST BLVD, CLINTON, NC 283282424 (Tel: 9105960606)

📍
Updated Business Mailing Address July 07, 2025

Registered at 8035 ELEMENT CIR, GARNER, NC 275293375 (Tel: 9198248426)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2025

Dentist (License #14303 in NC)

NPI Profile Active May 03, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2023

Registered at 1851 MACGREGOR DOWNS RD, GREENVILLE, NC 278345925 (Tel: 2527377000)

📍
Updated Business Mailing Address May 03, 2023

Registered at 1851 MACGREGOR DOWNS RD, GREENVILLE, NC 278345925 (Tel: 2527377000)

👤
Provider Name / Credentials Updated May 03, 2023

Recorded as KASSANDRA JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 03, 2023

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: 1457040693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2023
Last Update: July 07, 2025
Sole Proprietor: No

Mailing Address

8035 Element Cir

Garner, NC 275293375

Phone: 9198248426

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.