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Organization
WILLIAM C. JOHNSTON, DDS (APDC)
Active
Organization
WILLIAM C. JOHNSTON, DDS (APDC)
Active
Other names
William C. Johnston, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM C JOHNSTON DDS (DIRECT OWNER)
(318) 361-0381
Entity
Organization
Contact information
Practice address
1507 LAMY LN, STE A, MONROE, LA 71201-3804
(318) 361-0381
(318) 388-4598
Mailing address
1507 LAMY LN, STE A, MONROE, LA 71201-3804
(318) 361-0381
(318) 388-4598
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3840
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
824090
UNITED CONCORDIA
—
01
—
G6524
BLUE CROSS BLUE SHIELD
—
Enumeration date
05/21/2007
Last updated
08/22/2020
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