Derrick Thor Johnston, D.D.S.
Dentist · Bisbee, AZ
Practice location
2 Naco RdBisbee, AZ 85603
- Phone
- (520) 432-5371
- Fax
- (520) 432-6658
NPI record
- NPI
- 1578625091
- Entity type
- Individual (Type 1)
- Enumeration date
- December 14, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
2689 | AZ |
Mailing address
2 Naco RdP.O. Box 1898
Bisbee, AZ 85603
- Phone
- (520) 432-5371
- Fax
- (520) 432-6658
About Dr. Johnston
Derrick Thor Johnston, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2 Naco Rd, Bisbee, AZ 85603. The NPI number 1578625091 was assigned on December 14, 2006 and the record was last updated on July 8, 2007.
Dr. Johnston lists a license in the registry: #2689 (AZ) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Derrick Thor Johnston, D.D.S.?
The NPI number is 1578625091.
What is the phone number of Dr. Johnston?
The phone number listed for the practice location is (520) 432-5371.
Where is Dr. Johnston located?
2 Naco Rd, Bisbee, AZ 85603.
What is the taxonomy code for Dr. Johnston?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.