Individual
DR. JEREMY JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5754 ANTIOCH RD, MERRIAM, KS 66202-2015
(913) 671-7066
Mailing address
5754 ANTIOCH RD, MERRIAM, KS 66202-2015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61654
KS
Other
Enumeration date
06/23/2019
Last updated
06/23/2019
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