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Drs. Johnston & Lawrence
Pediatric Dentist in Russellville, Arkansas
NPI 1265825004

Drs. Johnston & Lawrence is a Pediatric Dentist based in Russellville, AR and is specialized in Pediatric Dentistry. Drs. Johnston & Lawrence practices in Russellville, AR. The NPI Number for Drs. Johnston & Lawrence is 1265825004 and holds a License No. 3422 (Arkansas).

The current practice location address for Drs. Johnston & Lawrence is 1610 W C Pl, Russellville, AR and can be reached out via phone at 479-968-8338 and via fax at 479-968-1688.

Location: 1610 W C Pl, Russellville, AR, 72801-2705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265825004
Provider Name
Drs. Johnston & Lawrence
Credential
Provider Entity Type
Organization
Address
1610 W C Pl, Russellville, AR, 72801-2705
Phone Number
479-968-8338
Fax Number
479-968-1688
Provider Enumeration Date
03/17/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
112087608 05 AR
150768608 05 AR
5X544 01 AR ARKANSAS BLUE CROSS BLUE SHIELD
56547 01 AR ARKANSAS BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1610 W C Pl
City
Russellville
State
Arkansas
Zip
72801-2705
Phone Number
479-968-8338
Fax Number
479-968-1688
person
Provider Business Mailing Address Details
Address
1610 W C Pl
City
Russellville
State
Arkansas
Zip
72801-2705
Phone Number
479-968-8338
Fax Number
479-968-1688
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
3422 (Arkansas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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