Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TRACY R JOHNSON, DDS
Active Sole ProprietorDR. TRACY R JOHNSON, DDS is a Oral & Maxillofacial Surgery healthcare provider located in LAKEWOOD, Washington. NPI 1548241219 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · LAKEWOOD, WA
Registration Details
- NPI Number
- 1548241219
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2005 (20.787104731039 yrs)
- Last Updated
- Jan 18, 2022
- Licenses
-
13638 (TX)DE00008961 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9101 BRIDGEPORT WAY SWBLDG B2LAKEWOOD, WA, 984992419Browse WA providers · Browse ZIP 98499
- Phone
- 2535840858
- Fax
- 2535841446
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in LAKEWOOD, WA
| Name | Credential | NPI |
|---|---|---|
| DAVID A COTANT | DDS | 1689708620 |
| DR. LESTER WOO | D.D.S. | 1902124274 |
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.