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General NPI Number Information
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NPI Number | 1104893189
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Entity Type | Organization
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Legal Business Name | MILTON JOHNSTON DDS PC
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 909 A UNITY RD
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City | CROSSETT
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State | AR
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Zip | 71635
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Country | US
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Telephone | 870-364-3313
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Fax | 870-364-9433
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Provider Business Mailing Address
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Address Line | PO BOX 617
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City | CROSSETT
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State | AR
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Zip | 71635
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Country | US
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Telephone | 870-364-3313
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Fax | 870-364-9433
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT C MILTON JR.
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Credential | DDS
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Telephone | 870-364-3313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3107
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3522
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3154
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License Number State | AR
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