Johnson, Michael Lee
Johnson, Michael Lee is an individual health care provider with primary practice located at Bldg 171, 4Th & Innerloop Usa Dentac, Fort Irwin CA 92310-5076. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Johnson, Michael Lee can be contacted via phone (719) 526-5537.Contact Information
Primary practice address
Bldg 171, 4Th & Innerloop Usa Dentac
Fort Irwin CA 92310-5076
Phone: (719) 526-5537
Fax: (719) 524-2843
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 57817 | California |
Dental Providers / General Practice | 1223G0001X | DDS57817 | California |
Dental Providers / General Practice | 1223G0001X | 57817 | California |
Profile Details
NPI number | 1629216726 |
---|---|
LBN Legal business name | Johnson, Michael Lee |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 27th, 2009 |
Last updated | Jun 21st, 2023 - about 2 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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