Johnson, Mark A

Johnson, Mark A is an sole proprietor health care provider with primary practice located at 1714 W Hunt Hwy Ste 100 , Queen Creek AZ 85143-5245. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Johnson, Mark A can be contacted via phone (480) 882-3119.

Contact Information

Primary practice address
1714 W Hunt Hwy Ste 100 Queen Creek AZ 85143-5245
Phone: (480) 882-3119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D008712 Arizona

Profile Details

NPI number 1275971988
LBN Legal business name Johnson, Mark A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2013
Last updated Aug 12th, 2014 - about 11 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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