Johnson, Bradley E

Johnson, Bradley E is an individual health care provider with primary practice located at 1016 Nw Newport Ave , Bend OR 97701-1618. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Bradley E can be contacted via phone (541) 389-1107.

Contact Information

Primary practice address
1016 Nw Newport Ave Bend OR 97701-1618
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6277 Oregon

Profile Details

NPI number 1518931260
LBN Legal business name Johnson, Bradley E
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Jul 9th, 2007 - about 17 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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