Johnston, Blake Andrew

Johnston, Blake Andrew is an individual health care provider with primary practice located at 11010 Quaker Ave , Lubbock TX 79424-8316. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnston, Blake Andrew can be contacted via phone (806) 797-6453.

Contact Information

Primary practice address
11010 Quaker Ave Lubbock TX 79424-8316
Phone: (806) 797-6453
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 28082 Texas

Profile Details

NPI number 1518222413
LBN Legal business name Johnston, Blake Andrew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2012
Last updated Apr 4th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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