Johnson, Roger Groom
Johnson, Roger Groom is an individual health care provider with primary practice located at 1103 Nw 67Th , Lawton OK 73505. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Johnson, Roger Groom can be contacted via phone (580) 536-7640.Contact Information
Primary practice address
1103 Nw 67Th
Lawton OK 73505
Phone: (580) 536-7640
Fax: (580) 536-7640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 3917 | Oklahoma |
Profile Details
| NPI number | 1447361605 |
|---|---|
| LBN Legal business name | Johnson, Roger Groom |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 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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