Johnson, Kevin Brooks

Johnson, Kevin Brooks is an sole proprietor health care provider with primary practice located at 333 Nw 3Rd Ave , Canby OR 97013-3602. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Johnson, Kevin Brooks can be contacted via phone (503) 266-2705.

Contact Information

Primary practice address
333 Nw 3Rd Ave Canby OR 97013-3602
Fax: (503) 266-2973
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE00010704 Washington
Dental Providers / Dentist 122300000X D9406 Oregon

Profile Details

NPI number 1942364575
LBN Legal business name Johnson, Kevin Brooks
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Apr 11th, 2012 - about 13 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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