Johnson, Keith David
Johnson, Keith David is an individual health care provider with primary practice located at 26 S Village Dr , Liberty MO 64068. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Keith David can be contacted via phone (816) 781-7571.Contact Information
Primary practice address
26 S Village Dr
Liberty MO 64068
Phone: (816) 781-7571
Fax: (816) 781-7933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 014182 | Missouri |
Profile Details
| NPI number | 1336330810 |
|---|---|
| LBN Legal business name | Johnson, Keith David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2007 |
| Last updated | Aug 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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