Mr. Michael Bruce Johnston is a Russellville, Arkansas based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mr. Michael Bruce Johnston is
2643 for Pediatric Dentistry in Arkansas. His current practice location is
1610 W C Pl, Russellville. Patients can reach him at
479-968-8338.
Mr. Michael Bruce Johnston provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Mr. Michael Bruce Johnston speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mr. Michael Bruce Johnston |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DDS, MS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1610 W C Pl, Russellville,
Arkansas, 72801-2705 |
| Phone: | 479-968-8338 |
| Fax: | 479-968-1688 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1649347634 |
| NPI Enumeration Date: | 29 Nov, 2006 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Michael Bruce Johnston are as mentioned below.
| License Number | Specialization | State | Status | |
| 2643 | Pediatric Dentistry | Arkansas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Michael Bruce Johnston such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 56547 | Other | Arkansas | BLUE CROSS PROVIDER # |
| 545063 | Other | Arizona | UNITED CONCORDIA PROV # |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1610 W C Pl,
Russellville, Arkansas |
| Zip: | 72801-2705 |
| Phone Number: | 479-968-8338 |
| Fax Number: | 479-968-1688 |
Patients can reach Mr. Michael Bruce Johnston at
1610 W C Pl, Russellville, Arkansas or can
call to book an appointment on 479-968-8338.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.