J.D. Johnston Psc

LBN: Paducah Pediatric Dentistry Psc
J.D. Johnston Psc is an health care organization with primary practice located at 2850 Lone Oak Rd Suite 1, Paducah KY 42003-8043. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty. Paducah Pediatric Dentistry Psc can be contacted via phone (270) 554-3131, or through Johnston, James Dennis via phone (270) 554-3131.

Contact Information

Primary practice address
2850 Lone Oak Rd Suite 1 Paducah KY 42003-8043
Phone: (270) 554-3131
Fax: (270) 554-0124
Website:
Map and Directions
Authorized official contact:
Name: Johnston, James Dennis Doctor of Dental Surgery (DDS)
Phone: (270) 554-3131

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4218 Kentucky
Dental Providers / Pediatric Dentistry 1223P0221X 4218 Kentucky

Profile Details

NPI number 1295740926
LBN Legal business name Paducah Pediatric Dentistry Psc
DBA Doing business as J.D. Johnston Psc
Authorized official Johnston, James Dennis Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Apr 24th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295740926 NPPES
Kentucky MEDICAID 60042181
Kentucky MEDICAID 45002524

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