| Brian E Johnston Dmd Pa | |
|
103 Christian Dr Suite B Brandon MS 39042-2762 | |
| (601) 825-1172 | |
| (601) 825-1185 |
| Full Name | Brian E Johnston Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 103 Christian Dr, Brandon, Mississippi |
| Authorized Official Name and Position | Brian E Johnston (PRESIDENT OF COMPANY) |
| Authorized Official Contact | 6018251185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian E Johnston Dmd Pa 103 Christian Dr Suite B Brandon MS 39042-2762 Ph: (601) 825-1172 | Brian E Johnston Dmd Pa 103 Christian Dr Suite B Brandon MS 39042-2762 Ph: (601) 825-1172 |
| NPI Number | 1568663029 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 02/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568663029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1756 (Mississippi) | Primary |
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