Organization
WILLIAM C. JOHNSTON, DDS (APDC)
Active
Other names
William C. Johnston, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM C JOHNSTON DDS (DIRECT OWNER)
(318) 361-0381
Entity
Organization
Contact information
Practice address
1507 LAMY LN, STE A, MONROE, LA 71201-3804
(318) 361-0381
(318) 388-4598
Mailing address
1507 LAMY LN, STE A, MONROE, LA 71201-3804
(318) 361-0381
(318) 388-4598
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3840
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
824090
UNITED CONCORDIA
—
01
—
G6524
BLUE CROSS BLUE SHIELD
—
Enumeration date
05/21/2007
Last updated
08/22/2020
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