| William C. Johnston, Dds (apdc) | |
|
1507 Lamy Ln Ste A Monroe LA 71201-3804 | |
| (318) 361-0381 | |
| (318) 388-4598 |
| Full Name | William C. Johnston, Dds (apdc) |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1507 Lamy Ln, Monroe, Louisiana |
| Authorized Official Name and Position | William C Johnston (DIRECT OWNER) |
| Authorized Official Contact | 3183610381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William C. Johnston, Dds (apdc) 1507 Lamy Ln Ste A Monroe LA 71201-3804 Ph: (318) 361-0381 | William C. Johnston, Dds (apdc) 1507 Lamy Ln Ste A Monroe LA 71201-3804 Ph: (318) 361-0381 |
| NPI Number | 1538377510 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538377510 | NPI | - | NPPES |
| 824090 | Other | UNITED CONCORDIA | |
| G6524 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3840 (Louisiana) | Primary |
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