Provider Demographics
NPI:1881769131
Name:JOHNSTON, WILLIAM STERLING (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:STERLING
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 1:1545 LIVINGSTON AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WEST SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55118
Mailing Address - Country:US
Mailing Address - Phone:651-455-0505
Mailing Address - Fax:651-455-0625
Practice Address - Street 1:1545 LIVINGSTON AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:WEST SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118
Practice Address - Country:US
Practice Address - Phone:651-455-0505
Practice Address - Fax:651-455-3210
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN10556122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist