Johnson, David Clark
Johnson, David Clark is an sole proprietor health care provider with primary practice located at 1120 E Elizabeth St Suite G-5, Fort Collins CO 80524-4044. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Johnson, David Clark can be contacted via phone (970) 221-5050.Contact Information
Primary practice address
1120 E Elizabeth St Suite G-5
Fort Collins CO 80524-4044
Phone: (970) 221-5050
Fax: (970) 221-5054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 8786 | Colorado |
Profile Details
| NPI number | 1194788141 |
|---|---|
| LBN Legal business name | Johnson, David Clark |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Apr 2nd, 2024 - about 8 months 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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