Provider Demographics
NPI:1376250373
Name:JOHNSTON AND MURPHY DENTAL CARE LLC
Entity Type:Organization
Organization Name:JOHNSTON AND MURPHY DENTAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:318-255-6780
Mailing Address - Street 1:306 E REYNOLDS DR
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-2846
Mailing Address - Country:US
Mailing Address - Phone:318-255-6780
Mailing Address - Fax:318-255-6778
Practice Address - Street 1:306 E REYNOLDS DR
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-2846
Practice Address - Country:US
Practice Address - Phone:318-255-6780
Practice Address - Fax:318-255-6778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-31
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty