Johnson, Kyle

Johnson, Kyle is an individual health care provider with primary practice located at 1109 S Park St Ste 504 , Carrollton GA 30117-4449. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Prosthetics Case Management, Dental Providers / Dental Hygienist. Dental Providers / Dental Hygienist is his primary health care specialty. Johnson, Kyle can be contacted via phone (253) 242-3494.

Contact Information

Primary practice address
1109 S Park St Ste 504 Carrollton GA 30117-4449
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X
Dental Providers / Dental Hygienist 124Q00000X 7320 Alabama

Profile Details

NPI number 1588014021
LBN Legal business name Johnson, Kyle
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2016
Last updated Oct 22nd, 2018 - about 8 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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