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Dr. Gary Robert Johnson, DDS
General Practice Dentistry in Berkeley, Illinois
NPI 1649294927

Gary Robert Johnson is a General Practice Dentistry based in Berkeley, IL and is specialized in General Practice. Gary Robert Johnson practices in Berkeley, IL and has the professional credentials of DDS. The NPI Number for Gary Robert Johnson is 1649294927 and holds a License No. 019017208 (Illinois).

The current practice location address for Gary Robert Johnson is 5646 Saint Charles Rd, Berkeley, IL and can be reached out via phone at 708-544-7474.

Location: 5646 Saint Charles Rd, Berkeley, IL, 60163-1148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649294927
Provider Name
Gary Robert Johnson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5646 Saint Charles Rd, Berkeley, IL, 60163-1148
Phone Number
708-544-7474
Fax Number
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5646 Saint Charles Rd
City
Berkeley
State
Illinois
Zip
60163-1148
Phone Number
708-544-7474
Fax Number
person
Provider Business Mailing Address Details
Address
5646 Saint Charles Rd
City
Berkeley
State
Illinois
Zip
60163-1148
Phone Number
708-544-7474
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019017208 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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