Johnson, Scott Alan

Johnson, Scott Alan is an sole proprietor health care provider with primary practice located at 1296 E Polston Ave Ste A , Post Falls ID 83854-5217. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Scott Alan can be contacted via phone (208) 773-5121.

Contact Information

Primary practice address
1296 E Polston Ave Ste A Post Falls ID 83854-5217
Fax: (208) 777-9484
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D3122 Idaho

Profile Details

NPI number 1134211295
LBN Legal business name Johnson, Scott Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
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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