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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GREGORY LEE JOHNSON, D.D.S

Active

DR. GREGORY LEE JOHNSON, D.D.S is a Pediatric Dentistry healthcare provider located in FAIRBANKS, Alaska. NPI 1376571521 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · FAIRBANKS, AK

Registration Details

NPI Number
1376571521
Provider Type
Individual
Gender
Male
NPI Issued
Jun 28, 2006 (20.147418501316 yrs)
Last Updated
Feb 5, 2022
Licenses
657 (AK)
2954 (WI)

Practice Information

Address
114 MINNIE ST
SUITE E
FAIRBANKS, AK, 997013006
Browse AK providers · Browse ZIP 99701
Phone
9073883252
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.