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Contact Information

JEFFREY C JOHNSON, DDS
250 ROUTE 4 STE 101
HAGATNA, GU96910-7110
 Phone: 671-646-7982
 Fax: 671-646-7989
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JEFFREY C JOHNSON · (Male)

NPI # 1114570652
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/23/2019
Last updated 07/23/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • GU License # D829
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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