Johnson, Mark Anthony
Johnson, Mark Anthony is an individual health care provider with primary practice located at 1362 N Gateway Ave , Rockwood TN 37854-4108. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Johnson, Mark Anthony can be contacted via phone (865) 354-1220.Contact Information
Primary practice address
1362 N Gateway Ave
Rockwood TN 37854-4108
Phone: (865) 354-1220
Fax: (865) 354-0112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DS0000007193 | Tennessee |
Profile Details
| NPI number | 1598747040 |
|---|---|
| LBN Legal business name | Johnson, Mark Anthony |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Sep 9th, 2010 - about 14 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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