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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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