Provider Demographics
NPI:1467190785
Name:JOHNSTON, COLE JAMES (DDS)
Entity Type:Individual
Prefix:
First Name:COLE
Middle Name:JAMES
Last Name:JOHNSTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1227 MARINER DR
Mailing Address - Street 2:
Mailing Address - City:HINTON
Mailing Address - State:IA
Mailing Address - Zip Code:51024-8825
Mailing Address - Country:US
Mailing Address - Phone:712-577-1264
Mailing Address - Fax:
Practice Address - Street 1:701 PARK AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415-1623
Practice Address - Country:US
Practice Address - Phone:612-873-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program