Johnston, Bruce M

Johnston, Bruce M is an individual health care provider with primary practice located at 2300 N 14Th Street Suite 202, Dodge City KS 67801. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnston, Bruce M can be contacted via phone (620) 225-2650.

Contact Information

Primary practice address
2300 N 14Th Street Suite 202 Dodge City KS 67801
Phone: (620) 225-2650
Fax: (620) 225-7722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5446 Kansas

Profile Details

NPI number 1780752345
LBN Legal business name Johnston, Bruce M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780752345 NPPES
Kansas Other 59641 BC & BS OF KANSAS
Kansas Other 1417934 BC & BS OF KANSAS

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