# LLOYD M. JOHNSTON, D.D.S., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235349796
- **Authorized official:** DR. LLOYD M JOHNSTON DDS (DENTIST)
- **Authorized official phone:** (704) 596-6767

## Contact information

- **Practice address:** 3014 BAUCOM RD, SUITE 100, CHARLOTTE, NC 28269-0985
- **Practice address phone:** (704) 596-6767
- **Practice address fax:** (704) 596-7790
- **Mailing address:** 3014 BAUCOM RD, SUITE 100, CHARLOTTE, NC 28269-0985
- **Mailing address phone:** (704) 596-6767
- **Mailing address fax:** (704) 596-7790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 01/10/2008
