Individual
DR. DANIEL TRAVIS JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
101 N INDUSTRIAL RD, SUITE A., TUPELO, MS 38801-3441
(662) 680-3383
Mailing address
8151 E INDIAN BEND RD, STE. 111, SCOTTSDALE, AZ 85250-4826
(480) 607-9999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3734-14
MS
Other
Enumeration date
07/05/2013
Last updated
12/22/2015
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