Ronald Jack Johnston, DDS is a
Dentist based in Evans, Colorado. Ronald Jack Johnston is licensed to practice in Colorado (license number 7158) and his current practice location is
2930 11th Ave, Evans, Colorado. He can be reached at his office (for appointments etc.) via phone at
(970) 350-4606.
NPI number for Ronald Jack Johnston is 1093859100 and his current mailing address is 1006 A St, Greeley, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093859100.
Healthcare Provider's Profile
| Full Name | Ronald Jack Johnston |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 2930 11th Ave, Evans, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093859100
- Provider Enumeration Date: 02/20/2007
- Last Update Date: 09/24/2015
Medical Identifiers
Medical identifiers for Ronald Jack Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093859100 | NPI | - | NPPES |
| 74009745 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 7158 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ronald Jack Johnston is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ronald Jack Johnston, DDS
1006 A St,
Greeley, CO 80631-2021
Ph: (970) 352-0048 | Ronald Jack Johnston, DDS
2930 11th Ave,
Evans, CO 80620-1011
Ph: (970) 350-4606 |
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