Organization
JOHNSTON DENTAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL P JOHNSTON DMD (PRESIDENT)
(803) 377-4113
Entity
Organization
Contact information
Practice address
813 DAVIS DR, CHESTER, SC 29706-7700
(803) 377-4113
Mailing address
813 DAVIS DR, CHESTER, SC 29706-7700
(803) 377-4113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2276
SC
1223G0001X
General Practice Dentistry
2365
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9968
—
SC
Enumeration date
07/13/2006
Last updated
08/22/2020
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