Johnson, James C

Johnson, James C is an sole proprietor health care provider with primary practice located at 1355 S Higley Rd Ste 117 , Gilbert AZ 85296-4789. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Johnson, James C can be contacted via phone (480) 632-7500.

Contact Information

Primary practice address
1355 S Higley Rd Ste 117 Gilbert AZ 85296-4789
Fax: (480) 632-8900
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 5410 Arizona

Profile Details

NPI number 1881622165
LBN Legal business name Johnson, James C
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Aug 24th, 2009 - about 16 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 1881622165 NPPES
Arizona MEDICAID 587800

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