Johnson, Gregory P

Johnson, Gregory P is an individual health care provider with primary practice located at 5394 Walnut Ave Suite H, Irvine CA 92604-2505. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Johnson, Gregory P can be contacted via phone (949) 552-5800.

Contact Information

Primary practice address
5394 Walnut Ave Suite H Irvine CA 92604-2505
Phone: (949) 552-5800
Fax: (949) 552-8905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D22813 California

Profile Details

NPI number 1740306794
LBN Legal business name Johnson, Gregory P
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Dec 30th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740306794 NPPES
California Other CGP171091 CALIFORNIA CHILDREN'S SERVICES
California Other 1790054344 CALIFORNIA CHILDREN'S SERVICES
California Other B22813 CALIFORNIA CHILDREN'S SERVICES
California Other CGP097860 CALIFORNIA CHILDREN'S SERVICES

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