Provider Demographics
NPI:1356491633
Name:THOMAS A JOHNSTON & ASSOCIATES, LTD
Entity Type:Organization
Organization Name:THOMAS A JOHNSTON & ASSOCIATES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-448-1940
Mailing Address - Street 1:206 HEATER RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766-1449
Mailing Address - Country:US
Mailing Address - Phone:603-448-1940
Mailing Address - Fax:603-448-1228
Practice Address - Street 1:206 HEATER RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1449
Practice Address - Country:US
Practice Address - Phone:603-448-1940
Practice Address - Fax:603-448-1228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT00002493Medicaid