Johnson, Kris David
Johnson, Kris David is an sole proprietor health care provider with primary practice located at 11800 Aberdeen St. Ne Suite 140, Blaine MN 55449. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Johnson, Kris David can be contacted via phone (763) 772-0330.Contact Information
Primary practice address
11800 Aberdeen St. Ne Suite 140
Blaine MN 55449
Phone: (763) 772-0330
Fax: (763) 772-0354
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Endodontics | 1223E0200X | D10585 | Minnesota |
Profile Details
NPI number | 1881894137 |
---|---|
LBN Legal business name | Johnson, Kris David |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 24th, 2007 |
Last updated | Jul 24th, 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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