Johnson, Mark Winton
Johnson, Mark Winton is an individual health care provider with primary practice located at 604 Mccarthy Blvd , New Bern NC 28562-5231. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Johnson, Mark Winton can be contacted via phone (252) 638-6177.Contact Information
Primary practice address
604 Mccarthy Blvd
New Bern NC 28562-5231
Phone: (252) 638-6177
Fax: (252) 638-5269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 5976 | North Carolina |
Profile Details
| NPI number | 1588762892 |
|---|---|
| LBN Legal business name | Johnson, Mark Winton |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588762892 | NPPES |
| North Carolina | Other | 633398 | UNITED CONCORDIA |
| North Carolina | MEDICAID | 7994645 | UNITED CONCORDIA |
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