Individual
DR. JAMES DENNIS JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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
1223P0221X
Pediatric Dentistry
Primary
4218 SPEC. CERT. 218
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60042181
—
KY
Enumeration date
10/08/2008
Last updated
10/08/2008
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