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Dr. Grady Earl Johnson JR., DMD
General Practice Dentistry in Jacksonville, Florida
NPI 1861508715

Grady Earl Johnson JR. is a General Practice Dentistry based in Jacksonville, FL and is specialized in General Practice. Grady Earl Johnson JR. practices in Jacksonville, FL and has the professional credentials of DMD. The NPI Number for Grady Earl Johnson JR. is 1861508715 and holds a License No. DN 7137 (Florida).

The current practice location address for Grady Earl Johnson JR. is 4273 Point La Vista Rd S, Jacksonville, FL and can be reached out via phone at 904-398-0404 and via fax at 904-398-0404.

Location: 4273 Point La Vista Rd S, Jacksonville, FL, 32207-6243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861508715
Provider Name
Grady Earl Johnson JR.
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
4273 Point La Vista Rd S, Jacksonville, FL, 32207-6243
Phone Number
904-398-0404
Fax Number
904-398-0404
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
074459000 05 FL
institution
Provider Business Practice Location Address Details
Address
4273 Point La Vista Rd S
City
Jacksonville
State
Florida
Zip
32207-6243
Phone Number
904-398-0404
Fax Number
904-398-0404
person
Provider Business Mailing Address Details
Address
4273 Point La Vista Rd S
City
Jacksonville
State
Florida
Zip
32207-6243
Phone Number
904-398-0404
Fax Number
904-398-0404
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN 7137 (Florida)
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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