| NPI | 1295740926 |
|---|---|
| Former Legal Business Name | J.D. JOHNSTON PSC |
| Entity Type | Organization |
| Authorized Contact | JAMES DENNIS JOHNSTON President 270-554-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: KY 4218) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 4218) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-04-24 |