Johansen, Robert W.

Johansen, Robert W. is an individual health care provider with primary practice located at 5000 Menaul Blvd Ne Ste B , Albuquerque NM 87110-3046. He recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dentist. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Johansen, Robert W. can be contacted via phone (614) 425-1381.

Contact Information

Primary practice address
5000 Menaul Blvd Ne Ste B Albuquerque NM 87110-3046
Phone: (614) 425-1381
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 50 054893 New York
Dental Providers / Dentist 122300000X 30.022825 Ohio
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DEN.00202093 Colorado

Profile Details

NPI number 1669675385
LBN Legal business name Johansen, Robert W.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Sep 29th, 2014 - about 12 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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