Johnston Dental Associates, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2276 Issued in SC

Legal business name

JOHNSTON DENTAL ASSOCIATES, PA

Practice address

813 Davis Dr
Chester, SC 29706-7700

Phone

(803) 377-4113

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joel P Johnston, DMD

Title

President

Phone

(803) 377-4113

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891710372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 DAVIS DR",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297067700",
            "telephone_number": "803-377-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 DAVIS DR",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297067700",
            "telephone_number": "803-377-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON DENTAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-377-4113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2276",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2365",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9968",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Takenya Tecadrian Hunter, MA, QMHP
• J D Rucker Jr DDS PA
• Phillip Brian Jacobs, OD
• John D. Sherer, DMD, PA
• Franklin Benjamin Johnson, MHS PT OCS COMT
• Jump Start Bridging Gaps LLC
• Lilyann Mae Kanipe
• Audrey Tise Kazer
• Keshia Donuel Keith, PHD, LPCS, LPC
• Letishal Kelly

• General Practice Dentistry in Chester, SC
• Providers in Chester, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.