Brian E Johnston Dmd PA

NPI #1568663029 in Brandon, Mississippi

Provider Information

NPI Number: 1568663029
Entity Type: Organization
Organization Name: Brian E Johnston Dmd PA
Primary Specialty: Dentist - General Practice
Enumeration Date: May 30, 2007
Last Updated: Feb 22, 2012

Practice Location

Address: 103 CHRISTIAN DR
Address 2: SUITE B
City: Brandon
State: Mississippi
ZIP Code: 39042-2762
Phone: (601) 825-1172

Authorized Official

Name: DR. BRIAN E JOHNSTON, DMD
Title: PRESIDENT OF COMPANY
Phone: (601) 825-1185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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