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Contact Information

RICHARD L JOHNSON SR, DDS, MS
121 MAIN STREET
EAST JORDAN, MI49727
 Phone: 231-536-1000
 Fax: 231-536-9705
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for RICHARD L JOHNSON SR · (Male)

NPI Number 1952389629
Status Active
Credentials DDS, MS
Entity Individual
Enumeration date 01/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 2901010612
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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