Individual provider · Type 1 NPI

Nicholas Ryan Johnston

Dentist · Philadelphia, PA

NPI number 1093565442 Active

Practice location

3400 Civic Center Blvd
Philadelphia, PA 19104-5127

Call (925) 640-4205 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDS044765 (PA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1093565442

Nicholas Ryan Johnston's National Provider Identifier is 1093565442, issued on Mar 26, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 2, 2025.