Johnson, Antoine Gerard

Johnson, Antoine Gerard is an sole proprietor health care provider with primary practice located at 8860 Columbia 100 Pkwy Ste 308 , Columbia MD 21045-2298. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Johnson, Antoine Gerard can be contacted via phone (410) 465-6800.

Contact Information

Primary practice address
8860 Columbia 100 Pkwy Ste 308 Columbia MD 21045-2298
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 14853 Maryland

Profile Details

NPI number 1679730709
LBN Legal business name Johnson, Antoine Gerard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2008
Last updated Oct 8th, 2021 - about 3 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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