Organization
PADUCAH PEDIATRIC DENTISTRY PSC
Active
Other names
J.D. Johnston PSC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DENNIS JOHNSTON D.D.S. (PRESIDENT)
(270) 554-3131
Entity
Organization
Contact information
Practice address
2850 LONE OAK RD, SUITE 1, PADUCAH, KY 42003-8043
(270) 554-3131
(270) 554-0124
Mailing address
2850 LONE OAK RD, SUITE 1, PADUCAH, KY 42003-8043
(270) 554-3131
(270) 554-0124
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4218
KY
1223P0221X
Pediatric Dentistry
Primary
4218
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45002524
—
KY
05
—
60042181
—
KY
Enumeration date
07/30/2006
Last updated
04/24/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up