Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013558519 Individual Practitioner Male Practitioner

Dr. Connor Scott Johnson , DDS

Dentist - General Practice • Denver, NC

Professional Overview & Biography Verified Profile Summary

Dr. Connor Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Denver, NC. Practice services are available at 7476 WATERSIDE LOOP RD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7476 Waterside Loop Rd Ste 100

Denver, NC 280377680

Telephone 7048209797
Associated Practice Facility / Clinic
🏢 Frank Avason Iii, Dmd, Ms, Pa Facility NPI 1033374269

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Denver, NC

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

Practicing in Denver, 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: 2022-03-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NC 12591

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License SC 9594

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Alyssa Wolff , DDS

Dentist - General Practice

NPI 1205366796

Doctor of Dental Surgery

Dr. Frank Avason , DMD MS PA

Dentist - General Practice

NPI 1609848910

DMDMSPA

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 13, 2022

Registered at 7476 WATERSIDE LOOP RD STE 100, DENVER, NC 280377680 (Tel: 7048209797)

📍
Updated Practice Location May 20, 2020

Registered at 506 BYPASS 72 NW, GREENWOOD, SC 296491300 (Tel: 8042521976)

👤
Provider Name / Credentials Updated May 20, 2020

Recorded as CONNOR JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2020

Dentist (License #9594 in SC)

NPI Profile Active October 05, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2019

Registered at 8210 FLOYD CURL DR # 8103, SAN ANTONIO, TX 782293923 (Tel: 8042521976)

📍
Updated Business Mailing Address October 05, 2019

Registered at 4509 ARGONNE CT, GLEN ALLEN, VA 230606443 (Tel: 8042521976)

👤
Provider Name / Credentials Updated October 05, 2019

Recorded as CONNOR JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration October 05, 2019

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: 1013558519
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2019
Last Update: March 13, 2022
Sole Proprietor: No

Mailing Address

4509 Argonne Ct

Glen Allen, VA 230606443

Phone: 8042521976

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.