Johnson, Roger Dale

Johnson, Roger Dale is an individual health care provider with primary practice located at 7525 Pioneer Way Ste 102, Gig Harbor WA 98335-1165. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Johnson, Roger Dale can be contacted via phone (253) 851-9963.

Contact Information

Primary practice address
7525 Pioneer Way Ste 102 Gig Harbor WA 98335-1165
Fax: (253) 858-2425
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4872 Washington

Profile Details

NPI number 1740286442
LBN Legal business name Johnson, Roger Dale
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
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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