Jeffery W Johnston, DDS, MS, FACD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2901013303 Issued in MI

Practice address

8130 Constitution Blvd
Sterling Heights, MI 48313-3801

Phone

(586) 268-5520

Fax

(596) 268-1288

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326058892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 CONSTITUTION BLVD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483133801",
            "telephone_number": "586-268-5520",
            "fax_number": "596-268-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 CONSTITUTION BLVD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483133801",
            "telephone_number": "586-268-5520",
            "fax_number": "596-268-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JEFFERY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS, MS, FACD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901013303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamesha Johnson
• Taylor Johnson
• Tremaine Jawuan Johnson
• Zhane' Johnson
• Carolyn M Johnston, LMSW
• Daina W. Jona, M.A., CF-SLP
• Alicia Michelle-Crystal Jones-Kearney
• Sarah Renee Jones-Tolbert, AGNP-C
• Abigail Jones
• Al Dujuan Jones Jr.

• Periodontics in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Periodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.