Individual provider · Type 1 NPI

Gregory Lee Johnson, D.D.S

Pediatric Dentistry · Fairbanks, AK

NPI number 1376571521 Active

Practice location

114 Minnie St, Suite E
Fairbanks, AK 99701-3006

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X657 (AK)
Pediatric Dentistry 1223P0221X2954 (WI)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

6 other providers at this address

About NPI 1376571521

Gregory Lee Johnson, D.D.S's National Provider Identifier is 1376571521, issued on Jun 28, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fairbanks, AK. The record was last updated on Feb 5, 2022.