Johnson, Stacy Cedric
Johnson, Stacy Cedric is an individual health care provider with primary practice located at 2727 N High School Rd , Indianapolis IN 46224-2911. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Stacy Cedric can be contacted via phone (317) 299-0706.Contact Information
Primary practice address
2727 N High School Rd
Indianapolis IN 46224-2911
Phone: (317) 299-0706
Fax: (317) 328-4859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12010163 | Indiana |
Profile Details
| NPI number | 1346206869 |
|---|---|
| LBN Legal business name | Johnson, Stacy Cedric |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2006 |
| Last updated | Jul 9th, 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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