Dr Jerry Lamar Johnston, DDS | |
306 E Reynolds Dr, Ruston, LA 71270-2846 | |
(318) 255-6780 | |
(318) 255-6778 |
Full Name | Dr Jerry Lamar Johnston |
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Gender | Male |
Speciality | Dentist |
Location | 306 E Reynolds Dr, Ruston, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124148689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3839 (Louisiana) | Primary |
Entity Name | Johnston And Murphy Dental Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376250373 PECOS PAC ID: 0143683847 Enrollment ID: O20240403004480 |
Mailing Address | Practice Location Address |
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Dr Jerry Lamar Johnston, DDS 306 E Reynolds Dr, Ruston, LA 71270-2846 Ph: (318) 255-6780 | Dr Jerry Lamar Johnston, DDS 306 E Reynolds Dr, Ruston, LA 71270-2846 Ph: (318) 255-6780 |
Dr. Adam Carter Coughran, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 900 S Vienna St, Ruston, LA 71270 Phone: 318-251-0334 | |
Wesley O. Lynch Iii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 E Reynolds Dr, Ruston, LA 71270 Phone: 318-251-0163 Fax: 318-251-0143 | |
Dr. Woody Lyle Smithey Jr., D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 900 S Vienna St, Ruston, LA 71270 Phone: 318-251-0334 Fax: 318-255-3538 | |
Dr. Jesse Henton Roberts Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 702 N Trenton St, Ruston, LA 71270 Phone: 318-255-9440 Fax: 318-251-1270 | |
Dr. Joe William Gilmore, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 206 East Vaughn Ave, Ruston, LA 71270 Phone: 318-255-7760 Fax: 318-255-7696 | |
Susann Mcmahen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 306 E Reynolds Dr, Suite 1, Ruston, LA 71270 Phone: 318-255-6780 |