Johnson, Samuel Eric
Johnson, Samuel Eric is an individual health care provider with primary practice located at 112 Lamar Blvd , Hattiesburg MS 39402-8147. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Samuel Eric can be contacted via phone (601) 450-5550.Contact Information
Primary practice address
112 Lamar Blvd
Hattiesburg MS 39402-8147
Phone: (601) 450-5550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3996-18 | Mississippi |
Profile Details
| NPI number | 1780176677 |
|---|---|
| LBN Legal business name | Johnson, Samuel Eric |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2018 |
| Last updated | Mar 20th, 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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