| Johnston Dental Care | |
|
306 E Reynolds Dr Suite 1 Ruston LA 71270-2846 | |
| (318) 255-6780 | |
| Not Available |
| Full Name | Johnston Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 306 E Reynolds Dr, Ruston, Louisiana |
| Authorized Official Name and Position | Jerry L Johnston (OWNER) |
| Authorized Official Contact | 3182556780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnston Dental Care 306 E Reynolds Dr Suite 1 Ruston LA 71270-2846 Ph: (318) 255-6780 | Johnston Dental Care 306 E Reynolds Dr Suite 1 Ruston LA 71270-2846 Ph: (318) 255-6780 |
| NPI Number | 1710336862 |
|---|---|
| Provider Enumeration Date | 06/09/2016 |
| Last Update Date | 06/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710336862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6686 (Louisiana) | Primary |
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