Organization
DRS JOHNSTON & RICHARDSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI LYNN JOHNSTON (OFFICE MANAGER)
(479) 968-8338
Entity
Organization
Contact information
Practice address
1610 W C PL, RUSSELLVILLE, AR 72801-2705
(479) 968-8338
(479) 968-1688
Mailing address
1610 W C PL, RUSSELLVILLE, AR 72801-2705
(479) 968-8338
(479) 968-1688
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
513
AR
Other
Enumeration date
11/22/2006
Last updated
08/22/2020
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