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Tracy Lynn Johnston
Advanced Practice Dental Therapist in Columbus, Georgia
NPI 1598422768

Tracy Lynn Johnston is an Advanced Practice Dental Therapist based in Fort Benning, GA. Tracy Lynn Johnston practices in Columbus, GA. The NPI Number for Tracy Lynn Johnston is 1598422768 and holds a License No. 987654 (Georgia).

The current practice location address for Tracy Lynn Johnston is 508 Claradon Ave, Columbus, GA and can be reached out via phone at 706-615-1977. You can also correspond with Tracy Lynn Johnston through the mailing address at 3255 11TH AIRBORNE DIV RD, FORT BENNING, GA - 31905-4354 (mailing address contact number: 706-544-9071).

Location: 508 Claradon Ave, Columbus, GA, 31905-4354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598422768
Provider Name
Tracy Lynn Johnston
Credential
Provider Entity Type
Individual
Gender
Female
Address
508 Claradon Ave, Columbus, GA, 31905-4354
Phone Number
706-615-1977
Fax Number
Provider Enumeration Date
11/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
508 Claradon Ave
City
Columbus
State
Georgia
Zip
31906-4354
Phone Number
706-615-1977
Fax Number
person
Provider Business Mailing Address Details
Address
508 Claradon Ave
City
Columbus
State
Georgia
Zip
31906-4354
Phone Number
706-615-1977
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Advanced Practice Dental Therapist
Speciality
-
Taxonomy
125K00000X
License No.
987654 (Georgia)
Definition
An Advanced Practice Dental Therapist is:<br/>(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or<br/>(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.<br/>The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.
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