Johnson, Mark

Johnson, Mark is an individual health care provider with primary practice located at 2 Washington Ave , Irvington NJ 07111. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Mark can be contacted via phone (973) 399-5000.

Contact Information

Primary practice address
2 Washington Ave Irvington NJ 07111
Fax: (973) 375-2630
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DI021390 New Jersey

Profile Details

NPI number 1508953381
LBN Legal business name Johnson, Mark
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 2007 - about 18 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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