Johnston Dental Care LLC
Organization Active NPI General Practice Dentistry · Grants Pass, OR
NPI 1164810941 · NPPES record last updated Jan 2, 2015
Key facts
- NPI
- 1164810941
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- JOHNSTON DENTAL CARE LLC
- Practice address
- 1215 NE 7TH St Ste a
Grants Pass, OR 97526-1450 - Phone
- (541) 479-6623
- Fax
- (541) 479-6776
- NPI assigned
- Jan 2, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Cory Michael Johnston, DMD
- Title
- Dentist
- Phone
- (541) 479-6623
Practitioners 4
-
Rhonda Kay Bowen, DDS, RDH
-
Jack Eldred Luce, DDS
National Provider Directory
Locations
1215 NE 7th St
Ste A
Grants Pass, OR 97526
Phone (541) 479-6623
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
1215 NE 7TH St Ste a
Grants Pass, OR 97526-1450
Mailing address
1215 NE 7TH St Ste a
Grants Pass, OR 97526-1450
Phone (541) 479-6623
Other providers in Grants Pass, OR
- Paul Elvin Johnson Jr.
- Rebecca Ann Johnson
- Ross Johnson
- Tamara Ranee-Barron Johnson
- Teri Lynn Johnson
- Cory Michael Johnston
- Katherine Suzanne Johnston
- Matthew Parker Johnston
- Mark Ivan Johnstun
- Jessee Joann Jolee
All providers in Grants Pass, OR · General Practice Dentistry in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.