DR. GREGORY LEE JOHNSON D.D.S NPI 1376571521

NPI Information

NPI: 1376571521
Provider Name: DR. GREGORY LEE JOHNSON, D.D.S
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
114 MINNIE ST
SUITE E
FAIRBANKS, AK
ZIP 99701
Phone: (907) 388-3252
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DR. Gregory Lee Johnson, D.D.S is a pediatric dentistry dentist in Fairbanks, AK. The provider is 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. DR. Gregory Lee Johnson, D.D.S NPI is 1376571521. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

114 MINNIE ST
SUITE E
FAIRBANKS, AK
ZIP 99701-006
Phone: (907) 388-3252

The enumeration date for this NPI number is 6/28/2006 and was last updated on 2/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	657	ALASKA	Yes
2	1223P0221X	Dentist	Pediatric Dentistry	2954	WISCONSIN	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DD0657	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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