Johnson, Matthew S

Johnson, Matthew S is an individual health care provider with primary practice located at 14859 N. Dale Mabry Hwy , Tampa FL 33647. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Johnson, Matthew S can be contacted via phone (813) 964-0828.

Contact Information

Primary practice address
14859 N. Dale Mabry Hwy Tampa FL 33647
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 12335 Florida

Profile Details

NPI number 1699879247
LBN Legal business name Johnson, Matthew S
Credentials DDS MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 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.

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