Jorgensen, Johnna

Jorgensen, Johnna is an individual health care provider with primary practice located at 555 S. 18Th Street , Columbus OH 43205. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Jorgensen, Johnna can be contacted via phone (614) 722-4579.

Contact Information

Primary practice address
555 S. 18Th Street Columbus OH 43205
Fax: (614) 722-4565
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 30018028 Ohio

Profile Details

NPI number 1740376334
LBN Legal business name Jorgensen, Johnna
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740376334 NPPES
Ohio MEDICAID 2159060

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