Johnson, Brent David
Johnson, Brent David is an individual health care provider with primary practice located at 3901 Pine Lake Rd Ste 250 , Lincoln NE 68516-5497. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Johnson, Brent David can be contacted via phone (402) 423-3322.Contact Information
Primary practice address
3901 Pine Lake Rd Ste 250
Lincoln NE 68516-5497
Phone: (402) 423-3322
Fax: (402) 423-3329
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 6566 | Nebraska |
Profile Details
| NPI number | 1790708857 |
|---|---|
| LBN Legal business name | Johnson, Brent David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Nov 5th, 2013 - about 12 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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