Tracy R Johnson in Lakewood - Oral And Maxillofacial Surgery
Tracy R Johnson - NPI 1548241219
Tracy R Johnson is a Oral And Maxillofacial Surgery in Lakewood, Washington. Tracy R Johnson practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Tracy R Johnson is 1548241219. The last update date is 2022-01-18.
Tracy R Johnson's current location address is 9101 Bridgeport Way Sw, Lakewood, Washington. You can contact this provider via phone number 2535840858 and fax number 2535841446. The mailing address for Tracy R Johnson is 9101 Bridgeport Way Sw, Lakewood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy R Johnson |
|---|---|
| Address | 9101 Bridgeport Way Sw, Lakewood, Washington |
| Phone Number | 2535840858 |
| Fax Number | 2535841446 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1548241219 |
|---|---|
| Provider Enumeration Date | 2005-11-09 |
| Last Updated Date | 2022-01-18 |
Provider Mailing Address Detail
| Address | 9101 Bridgeport Way Sw |
|---|---|
| City | Lakewood |
| State | Washington (WA) |
| Post Code | 984992419 |
| Phone Number | 2535840858 |
| Fax Number | 2535841446 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 13638 |
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Definition: 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. |
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What is the unique identification code assigned to Tracy R Johnson by the Centers for Medicare & Medicaid Services?
The Tracy R Johnson has been issued the NPI (National Provider Identifier) 1548241219. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Tracy R Johnson's physical address?
The Tracy R Johnson is physically located at 9101 Bridgeport Way Sw, in the city of Lakewood, WA, with the postal code 984992419.
What is Tracy R Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tracy R Johnson is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1548241219 to Tracy R Johnson?
The Centers for Medicare & Medicaid Services originally issued the 1548241219 to Tracy R Johnson on 2005-11-09.
As of what date was the information regarding Tracy R Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tracy R Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-01-18.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY