Individual
DR. JEFFERY W JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS, FACD
Contact information
Practice address
8130 CONSTITUTION BLVD, STERLING HEIGHTS, MI 48313-3801
(586) 268-5520
(596) 268-1288
Mailing address
8130 CONSTITUTION BLVD, STERLING HEIGHTS, MI 48313-3801
(586) 268-5520
(596) 268-1288
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901013303
MI
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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