# DR. DERRICK A JOHNSTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1457481582
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12009722 | IN | Yes |
| 1223G0001X | General Practice Dentistry | 12209722 | IN | — |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 01/20/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 35-1982894 | — | IN |