| William S Johnston Dds Pa | |
| 
					1545 Livington Ave Suite 101 W St Paul MN 55118  | |
| (651) 455-0505 | |
| (651) 455-0625 | 
| Full Name | William S Johnston Dds Pa | 
|---|---|
| Speciality | Dentist | 
| Location | 1545 Livington Ave Suite 101, W St Paul, Minnesota | 
| Authorized Official Name and Position | William S Johnston (OWNER DENTIST) | 
| Authorized Official Contact | 6514550505 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| William S Johnston Dds Pa 1545 Livington Ave Suite 101 W St Paul MN 55118 Ph: (651) 455-0505  | William S Johnston Dds Pa 1545 Livington Ave Suite 101 W St Paul MN 55118 Ph: (651) 455-0505  | 
| NPI Number | 1952569220 | 
|---|---|
| Provider Enumeration Date | 05/23/2008 | 
| Last Update Date | 05/23/2008 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1952569220 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | 10556 (Minnesota) | Primary |