Johnson, Edward S

Johnson, Edward S is an sole proprietor health care provider with primary practice located at 500 Blue Hills Ave , Hartford CT 06112-1500. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Johnson, Edward S can be contacted via phone (860) 714-2111.

Contact Information

Primary practice address
500 Blue Hills Ave Hartford CT 06112-1500
Phone: (860) 714-2111
Fax: (860) 714-8528
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3960 Connecticut

Profile Details

NPI number 1639251721
LBN Legal business name Johnson, Edward S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers