Johnson, Paul David
Johnson, Paul David is an sole proprietor health care provider with primary practice located at 25 Pine Cone Drive Suite 1, Palm Coast FL 32164. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Johnson, Paul David can be contacted via phone (386) 445-7671.Contact Information
Primary practice address
25 Pine Cone Drive Suite 1
Palm Coast FL 32164
Phone: (386) 445-7671
Fax: (386) 445-7278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN14870 | Florida |
Profile Details
| NPI number | 1023288255 |
|---|---|
| LBN Legal business name | Johnson, Paul David |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 4th, 2008 |
| Last updated | Mar 4th, 2008 - about 17 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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