Johnson, Samuel L.

Johnson, Samuel L. is an individual health care provider with primary practice located at 740 Hillcrest Rd Ste 2B , Mobile AL 36695-4021. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Samuel L. can be contacted via phone (251) 639-0911.

Contact Information

Primary practice address
740 Hillcrest Rd Ste 2B Mobile AL 36695-4021
Phone: (251) 639-0911
Fax: (251) 633-7889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4049 Alabama

Profile Details

NPI number 1417006677
LBN Legal business name Johnson, Samuel L.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417006677 NPPES
Alabama Other 92365 BLUE CROSS PROVIDER #

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