Johnson, Douglas W

Johnson, Douglas W is an individual health care provider with primary practice located at 248 Pleasant St , Concord NH 03301-2588. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Johnson, Douglas W can be contacted via phone (603) 224-3339.

Contact Information

Primary practice address
248 Pleasant St Concord NH 03301-2588
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 1225 New Hampshire

Profile Details

NPI number 1457422610
LBN Legal business name Johnson, Douglas W
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Jul 8th, 2007 - about 19 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 1457422610 NPPES
New Hampshire MEDICAID 89191621

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