Individual
DR. MICHAEL S JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
3115 BRUSHY CREEK RD BLDG E, GREER, SC 29650-0903
(864) 877-2929
Mailing address
3115 BRUSHY CREEK RD BLDG E, GREER, SC 29650-0903
(864) 877-2929
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3325 & SPEC 501
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
7447
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600881332
NC DEPT. OF REVENUE WITHHOLDING NUMBER
NC
Enumeration date
05/07/2007
Last updated
03/01/2013
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