Johnson, Justin Lee
Johnson, Justin Lee is an individual health care provider with primary practice located at 3551 Amazonas Dr , Jefferson City MO 65109-5717. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Justin Lee can be contacted via phone (573) 634-2400.Contact Information
Primary practice address
3551 Amazonas Dr
Jefferson City MO 65109-5717
Phone: (573) 634-2400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2007016529 | Missouri |
Profile Details
| NPI number | 1053516658 |
|---|---|
| LBN Legal business name | Johnson, Justin Lee |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2007 |
| Last updated | Apr 28th, 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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