Johnson, Joel Micah

Johnson, Joel Micah is an individual health care provider with primary practice located at 10211 Dupont Circle Dr W Ste A , Fort Wayne IN 46825-1625. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Johnson, Joel Micah can be contacted via phone (260) 489-8989.

Contact Information

Primary practice address
10211 Dupont Circle Dr W Ste A Fort Wayne IN 46825-1625
Phone: (260) 489-8989
Fax: (734) 763-8100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901020824 Michigan
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 12011754A Indiana

Profile Details

NPI number 1568714590
LBN Legal business name Johnson, Joel Micah
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2012
Last updated Oct 7th, 2014 - about 11 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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