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NPI Code Detail

MEDICARE: SHEILA JOHNSTON R.D.H.

MEDICARE: SHEILA JOHNSTON R.D.H.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental Hygienist011592NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013937697
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA JOHNSTON R.D.H.
Provider Business Mailing Address
First Line : 480 GENESEE ST
Second Line :
City : ROCHESTER
State : NY
Zip : 14611-3634
Country : US
Telephone Number : 585-254-6480
Fax Number : 585-254-1092
Provider Business Practice Location Address
First Line : 322 LAKE AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14608-1017
Country : US
Telephone Number : 585-254-6480
Fax Number : 585-254-1092
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 07/09/2007

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Directions to “ SHEILA JOHNSTON R.D.H.” Practice Location

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