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Dr. Tracy R Johnson, DDS
Oral and Maxillofacial Surgery (Dentist) in Lakewood, Washington
NPI 1548241219

Tracy R Johnson is a Oral and Maxillofacial Surgery (Dentist) based in Lakewood, WA and is specialized in Oral and Maxillofacial Surgery. Tracy R Johnson practices in Lakewood, WA and has the professional credentials of DDS. The NPI Number for Tracy R Johnson is 1548241219 and holds a License No. 13638 (Washington).

The current practice location address for Tracy R Johnson is 9101 Bridgeport Way Sw, Lakewood, WA and can be reached out via phone at 253-584-0858 and via fax at 253-584-1446.

Location: 9101 Bridgeport Way Sw, Lakewood, WA, 98499-2419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548241219
Provider Name
Tracy R Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
9101 Bridgeport Way Sw, Lakewood, WA, 98499-2419
Phone Number
253-584-0858
Fax Number
253-584-1446
Provider Enumeration Date
11/09/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9101 Bridgeport Way Sw
City
Lakewood
State
Washington
Zip
98499-2419
Phone Number
253-584-0858
Fax Number
253-584-1446
person
Provider Business Mailing Address Details
Address
9101 Bridgeport Way Sw
City
Lakewood
State
Washington
Zip
98499-2419
Phone Number
253-584-0858
Fax Number
253-584-1446
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
13638 (Texas)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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