| Johnston And Murphy Dental Care Llc | |
|
306 E Reynolds Dr Ruston LA 71270-2846 | |
| (318) 255-6780 | |
| (318) 255-6778 |
| Full Name | Johnston And Murphy Dental Care Llc |
|---|---|
| Speciality | Dentist |
| Location | 306 E Reynolds Dr, Ruston, Louisiana |
| Authorized Official Name and Position | Shawn David Murphy (GENERAL DENTIST) |
| Authorized Official Contact | 3182556780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnston And Murphy Dental Care Llc 306 E Reynolds Dr Ruston LA 71270-2846 Ph: (318) 255-6780 | Johnston And Murphy Dental Care Llc 306 E Reynolds Dr Ruston LA 71270-2846 Ph: (318) 255-6780 |
| NPI Number | 1376250373 |
|---|---|
| Provider Enumeration Date | 10/31/2022 |
| Last Update Date | 06/29/2023 |
| Medicare PECOS PAC ID | 0143683847 |
|---|---|
| Medicare Enrollment ID | O20240403004480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376250373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Jerry Lamar Johnston |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124148689 PECOS PAC ID: 0345600912 Enrollment ID: I20240418001821 |
| Provider Name | Shawn Murphy |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1164047304 PECOS PAC ID: 0244690816 Enrollment ID: I20240418002891 |
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