Johnson, Matthew L
Johnson, Matthew L is an sole proprietor health care provider with primary practice located at 722 Harvard Dr , Owensboro KY 42301-6152. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Johnson, Matthew L can be contacted via phone (270) 685-5242.Contact Information
Primary practice address
722 Harvard Dr
Owensboro KY 42301-6152
Phone: (270) 685-5242
Fax: (270) 685-5247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 8486 | Kentucky |
| Dental Providers / General Practice | 1223G0001X | KY8486 | Kentucky |
Profile Details
| NPI number | 1295920411 |
|---|---|
| LBN Legal business name | Johnson, Matthew L |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2007 |
| Last updated | Nov 10th, 2009 - about 16 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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