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Individual

DR. MICHAEL S JOHNSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD, MS

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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