| Drs. Johnston & Lawrence | |
|
1610 W C Pl Russellville AR 72801-2705 | |
| (479) 968-8338 | |
| (479) 968-1688 |
| Full Name | Drs. Johnston & Lawrence |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1610 W C Pl, Russellville, Arkansas |
| Authorized Official Name and Position | Terri Lynn Johnston (OFFICE MANAGER) |
| Authorized Official Contact | 4799688338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Johnston & Lawrence 1610 W C Pl Russellville AR 72801-2705 Ph: (479) 968-8338 | Drs. Johnston & Lawrence 1610 W C Pl Russellville AR 72801-2705 Ph: (479) 968-8338 |
| NPI Number | 1265825004 |
|---|---|
| Provider Enumeration Date | 03/17/2015 |
| Last Update Date | 02/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265825004 | NPI | - | NPPES |
| 112087608 | Medicaid | AR | |
| 150768608 | Medicaid | AR | |
| 5X544 | Other | AR | ARKANSAS BLUE CROSS BLUE SHIELD |
| 56547 | Other | AR | ARKANSAS BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3422 (Arkansas) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 2643 (Arkansas) | Secondary |
Drs Johnston & Richardson Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 W C Pl, Russellville, AR 72801 Phone: 479-968-8338 Fax: 479-968-1688 | |
Richard L Morgan Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 West C Place, Russellville, AR 72801 Phone: 479-968-1470 Fax: 479-968-7282 | |
Arkansas Dentistry And Braces Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 W Main St, Russellville, AR 72801 Phone: 479-445-6335 Fax: 479-301-2878 | |
Russellville Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 N Elmira Ave, Russellville, AR 72802 Phone: 479-280-1920 | |
Dr. Douglas A. Griffin D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N Phoenix Ave, Russellville, AR 72801 Phone: 479-968-1655 | |
Bartlett Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 S Tulsa Ave, Russellville, AR 72801 Phone: 479-968-2100 Fax: 479-968-2107 |