DR. Tracy R Johnson, DDS is an oral and maxillofacial surgery dentist in Lakewood, WA with 41 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. Tracy R Johnson, DDS NPI is 1548241219. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year:1983
The provider's business location address is:
9101 BRIDGEPORT WAY SW
BLDG B2
LAKEWOOD, WA
ZIP 98499-419
Phone: (253) 584-0858
Fax: (253) 584-1446
The NPI 1548241219 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 11/9/2005 and was last updated on 1/18/2022.