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
Phone: (503) 266-2705
Fax: (503) 266-2973
Website:
Health care specialties
Specialty | Code | License # | 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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