Individual
DR. CLAYTON HARDY JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., P.A.
Contact information
Practice address
224 S. CHURCH ST., STE. A, BROOKHAVEN, MS 39601-4086
(601) 835-0090
(601) 835-0377
Mailing address
224 S. CHURCH ST., SUITE A, BROOKHAVEN, MS 39601-4086
(601) 835-0090
(601) 835-0377
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3131-00
MS
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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