Johnson, Marc Roy
Johnson, Marc Roy is an individual health care provider with primary practice located at 16737 Fishhawk Blvd , Lithia FL 33547-3860. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Marc Roy can be contacted via phone (813) 662-7171.Contact Information
Primary practice address
16737 Fishhawk Blvd
Lithia FL 33547-3860
Phone: (813) 662-7171
Fax: (813) 662-3024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN15183 | Florida |
Profile Details
| NPI number | 1265645683 |
|---|---|
| LBN Legal business name | Johnson, Marc Roy |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| 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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