Individual
DR. JERRY LAMAR JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
306 E REYNOLDS DR, RUSTON, LA 71270-2846
(318) 255-6780
(318) 255-6778
Mailing address
306 E REYNOLDS DR, RUSTON, LA 71270-2846
(318) 255-6780
(318) 255-6778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3839
LA
Other
Enumeration date
03/29/2007
Last updated
11/02/2022
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