Johnson, Moses
Johnson, Moses is an individual health care provider with primary practice located at 714 Avenue C , Fort Pierce FL 34950-4189. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Johnson, Moses can be contacted via phone (772) 462-3833.Contact Information
Primary practice address
714 Avenue C
Fort Pierce FL 34950-4189
Phone: (772) 462-3833
Fax: (772) 462-3865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | DN14317 | Florida |
Profile Details
| NPI number | 1811047715 |
|---|---|
| LBN Legal business name | Johnson, Moses |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 9th, 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 | 1811047715 | NPPES |
| Florida | Other | DN14317 | MEDICAL LICENSE |
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