Provider Demographics
NPI:1528227097
Name:JOHNSTON FAMILY DENTISTRY INC. DBA DENTAL ARTS GROUP
Entity Type:Organization
Organization Name:JOHNSTON FAMILY DENTISTRY INC. DBA DENTAL ARTS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:401-521-3661
Mailing Address - Street 1:1136 HARTFORD AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-7111
Mailing Address - Country:US
Mailing Address - Phone:401-521-3661
Mailing Address - Fax:401-521-6680
Practice Address - Street 1:1136 HARTFORD AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-7111
Practice Address - Country:US
Practice Address - Phone:401-521-3661
Practice Address - Fax:401-521-6680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI 02353122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty