Johnson, Kirby Charles
Johnson, Kirby Charles is an individual health care provider with primary practice located at 3905 Silver Lake Rd , St Anthony MN 55421. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Johnson, Kirby Charles can be contacted via phone (612) 788-9246.Contact Information
Primary practice address
3905 Silver Lake Rd
St Anthony MN 55421
Phone: (612) 788-9246
Fax: (612) 788-5511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 10472DDS | Minnesota |
Profile Details
| NPI number | 1023045341 |
|---|---|
| LBN Legal business name | Johnson, Kirby Charles |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| 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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