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DRS. JOHNSTON & LAWRENCE NPI 1265825004


NPI Information

NPI: 1265825004
Provider Name: DRS. JOHNSTON & LAWRENCE
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1610 W C PL
RUSSELLVILLE, AR
ZIP 72801
Phone: (479) 968-8338
Get Directions

DRS. JOHNSTON & LAWRENCE is a pediatric dentistry dentist in Russellville, AR. The provider is 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. DRS. JOHNSTON & LAWRENCE NPI is 1265825004. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1610 W C PL
RUSSELLVILLE, AR
ZIP 72801-705
Phone: (479) 968-8338
Fax: (479) 968-1688

The provider's authorized official is Terri Lynn Johnston .
The authorized official title is Office Manager and has the following contact phone number (479) 968-8338.

The enumeration date for this NPI number is 3/17/2015 and was last updated on 2/17/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry2643ARKANSASNo
21223P0221XDentistPediatric Dentistry3422ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1150768608MEDICAIDARKANSAS
2112087608MEDICAIDARKANSAS
35X544OTHERARKANSASARKANSAS BLUE CROSS BLUE SHIELD
456547OTHERARKANSASARKANSAS BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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