Johnson, Jacob Adam
Johnson, Jacob Adam is an individual health care provider with primary practice located at 3050 Sycamore School Rd , Fort Worth TX 76133. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Johnson, Jacob Adam can be contacted via phone (817) 370-0021.Contact Information
Primary practice address
3050 Sycamore School Rd
Fort Worth TX 76133
Phone: (817) 370-0021
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | D7748 | Arizona |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 34630 | Texas |
Profile Details
| NPI number | 1093964900 |
|---|---|
| LBN Legal business name | Johnson, Jacob Adam |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2008 |
| Last updated | Jul 20th, 2019 - about 5 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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