Johnson, James Keith

Johnson, James Keith is an sole proprietor health care provider with primary practice located at 6204 Duncan Rd , Petersburg VA 23803-7442. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, James Keith can be contacted via phone (804) 861-6464.

Contact Information

Primary practice address
6204 Duncan Rd Petersburg VA 23803-7442
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 05461 Virginia

Profile Details

NPI number 1770607616
LBN Legal business name Johnson, James Keith
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2007
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.

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