Individual provider · Type 1 NPI

Thomas Michael Johnson, DMD, MS

Periodontics · Fort Gordon, GA

NPI number 1780662791 Active

Practice location

228 E Hospital Rd
Fort Gordon, GA 30905-6011

Mailing address

Building 38801, Suites B & C
Fort Gordon, GA 30905-5660

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X30-022175 (OH)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1780662791

Thomas Michael Johnson, DMD, MS's National Provider Identifier is 1780662791, issued on Jan 9, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fort Gordon, GA. The record was last updated on Mar 3, 2023.