Johnson, Charles William

Johnson, Charles William is an individual health care provider with primary practice located at 1600 23Rd Ave Ste 200 , Greeley CO 80634-6071. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Charles William can be contacted via phone (970) 353-4329.

Contact Information

Primary practice address
1600 23Rd Ave Ste 200 Greeley CO 80634-6071
Fax: (970) 353-0526
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7049 Colorado

Profile Details

NPI number 1528066404
LBN Legal business name Johnson, Charles William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Mar 7th, 2023 - about last year

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 1528066404 NPPES
Colorado Other 7049 DENTAL LICENSE NUMBER

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