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
Phone: (253) 242-3494
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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