Johnson, Larry A
Johnson, Larry A is an sole proprietor health care provider with primary practice located at 69 Hall Road , Sturbridge MA 07566. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Johnson, Larry A can be contacted via phone (508) 347-2673.Contact Information
Primary practice address
69 Hall Road
Sturbridge MA 07566
Phone: (508) 347-2673
Fax: (508) 847-5085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 12356 | Massachusetts |
| Dental Providers / Periodontics | 1223P0300X | 006125 | Connecticut |
Profile Details
| NPI number | 1811147598 |
|---|---|
| LBN Legal business name | Johnson, Larry A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2008 |
| Last updated | Sep 30th, 2008 - about 16 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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