Male or Other

Wayne Johnston D.M.D.

Dentist in Gardner, MA(View on Map)

Full Name

Wayne Johnston D.M.D.

NPI Number

1861474553

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/17/2005

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

Massachusetts

License Number

12012

Contact
Information

Purpose

Mailing
Location

Address

34 WOODLAND AVE
34 WOODLAND AVE

City

Gardner
Gardner

State

MA
MA

Postal Code

01440-1622
01440-1622

Country

US
US

Telephone Number

(978) 632-6651
(978) 632-6651

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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