Individual
DR. DERRICK A JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
455 SHERIDAN RD, NOBLESVILLE, IN 46060-1315
(317) 773-1302
(317) 773-4214
Mailing address
455 SHERIDAN RD, NOBLESVILLE, IN 46060-1315
(317) 773-1302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009722
IN
1223G0001X
General Practice Dentistry
12209722
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35-1982894
—
IN
Enumeration date
03/07/2007
Last updated
01/20/2026
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