Organization · Type 2 NPI
Tracy R. Johnson, Dds, PS
Oral and Maxillofacial Surgery (Dentist) · Port Orchard, WA
Practice location
2040 Mitchell Rd SE
Port Orchard, WA 98366-4401
Fax (360) 895-9350
Mailing address
3377 Bethel Rd SE Ste 107, Pmb 184
Port Orchard, WA 98366-5608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DE00008961 (WA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Port Orchard
About NPI 1376718957
Tracy R. Johnson, Dds, PS's National Provider Identifier is 1376718957, issued on Apr 24, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Port Orchard, WA. The record was last updated on Apr 24, 2008.