Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY ROBERT JOHNSON, D.D.S.
ActiveGeneral Dentistry · BERKELEY, IL
Registration Details
- NPI Number
- 1649294927
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2006 (19.75553369618 yrs)
- Last Updated
- Oct 26, 2015
- Licenses
-
019017208 (IL)319006856 (IL)
Practice Information
- Address
-
5646 SAINT CHARLES RDSUITE CBERKELEY, IL, 601631148Browse IL providers · Browse ZIP 60163
- Phone
- 7085447474
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in BERKELEY, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL ANTHONY ESPOSITO | D.D.S. | 1063573277 |
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.