Johnson, Michael Allan

Johnson, Michael Allan is an individual health care provider with primary practice located at 133 Towne Centre Parkway , Myrtle Beach SC 29579-3493. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Johnson, Michael Allan can be contacted via phone (843) 449-1621.

Contact Information

Primary practice address
133 Towne Centre Parkway Myrtle Beach SC 29579-3493
Phone: (843) 449-1621
Fax: (843) 903-3840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 958 South Carolina
Dental Providers / Dentist 122300000X 8911 South Carolina

Profile Details

NPI number 1427324243
LBN Legal business name Johnson, Michael Allan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2012
Last updated Nov 6th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427324243 NPPES
South Carolina Other 958 ORAL & MAXILLOFACIAL SURGERY LICENSE
South Carolina Other 8811 ORAL & MAXILLOFACIAL SURGERY LICENSE

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