Johnson, Jeff Wayne

Johnson, Jeff Wayne is an sole proprietor health care provider with primary practice located at 1212 Freeway Dr , Reidsville NC 27320-7170. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Jeff Wayne can be contacted via phone (336) 342-0102.

Contact Information

Primary practice address
1212 Freeway Dr Reidsville NC 27320-7170
Fax: (336) 342-0123
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4497 North Carolina

Profile Details

NPI number 1265456164
LBN Legal business name Johnson, Jeff Wayne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 18 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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