Johnson, Dwight Layne
Johnson, Dwight Layne is an individual health care provider with primary practice located at 1129 S 2Nd Ave Ste D , Walla Walla WA 99362-4100. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Johnson, Dwight Layne can be contacted via phone (509) 516-1200.Contact Information
Primary practice address
1129 S 2Nd Ave Ste D
Walla Walla WA 99362-4100
Phone: (509) 516-1200
Fax: (509) 516-1209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | D-3382 | Idaho |
| Dental Providers / Periodontics | 1223P0300X | 376097-9921 | Utah |
| Dental Providers / Periodontics | 1223P0300X | DE00010960 | Washington |
Profile Details
| NPI number | 1043297153 |
|---|---|
| LBN Legal business name | Johnson, Dwight Layne |
| Credentials | D.M.D., M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Sep 14th, 2022 - about 2 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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