Johnson, Mark Steven

Johnson, Mark Steven is an individual health care provider with primary practice located at 6601 Lyndale Ave S Suite 220, Richfield MN 55423-2477. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Mark Steven can be contacted via phone (612) 861-9109.

Contact Information

Primary practice address
6601 Lyndale Ave S Suite 220 Richfield MN 55423-2477
Phone: (612) 861-9109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9555 Minnesota

Profile Details

NPI number 1215949045
LBN Legal business name Johnson, Mark Steven
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 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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