Atlas, John

Atlas, John is an individual health care provider with primary practice located at 179 Cahill Cross Rd Sutie 216, West Milford NJ 07480-1988. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Atlas, John can be contacted via phone (973) 728-5556.

Contact Information

Primary practice address
179 Cahill Cross Rd Sutie 216 West Milford NJ 07480-1988
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 046263 New York

Profile Details

NPI number 1518920784
LBN Legal business name Atlas, John
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518920784 NPPES
New York MEDICAID 00244202

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