Johnson, Austin C
Johnson, Austin C is an sole proprietor health care provider with primary practice located at 12720 Kansas Ave Boak Dental Clinic Fort Leonard Wood, Apo AA 65584. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Austin C can be contacted via phone (573) 596-1470.Contact Information
Primary practice address
12720 Kansas Ave Boak Dental Clinic Fort Leonard Wood
Apo AA 65584
Phone: (573) 596-1470
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS0000010769 | Tennessee |
Profile Details
| NPI number | 1770063208 |
|---|---|
| LBN Legal business name | Johnson, Austin C |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2018 |
| Last updated | Aug 15th, 2018 - about 7 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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