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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.