Johnson, Dominique
Johnson, Dominique is an individual health care provider with primary practice located at 2151 Rockford St , Mount Airy NC 27030-5205. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Johnson, Dominique can be contacted via phone (336) 429-4146.Contact Information
Primary practice address
2151 Rockford St
Mount Airy NC 27030-5205
Phone: (336) 429-4146
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 13428 | North Carolina |
Profile Details
NPI number | 1750065447 |
---|---|
LBN Legal business name | Johnson, Dominique |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2023 |
Last updated | Aug 3rd, 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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