Individual provider · Type 1 NPI

Michael Bruce Johnston, DDS, MS

Pediatric Dentistry · Russellville, AR

NPI number 1649347634 Active

Practice location

1610 W C Pl
Russellville, AR 72801-2705

Fax (479) 968-1688

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X2643 (AR)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

4 other providers at this address

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About NPI 1649347634

Michael Bruce Johnston, DDS, MS's National Provider Identifier is 1649347634, issued on Nov 29, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Russellville, AR. The record was last updated on Jul 9, 2007.