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TRACY R. JOHNSON, DDS, PS
NPI 1376718957
Dentist - Oral and Maxillofacial Surgery in Port Orchard, WA

Active since April 24, 2008
2040 MITCHELL RD SE, PORT ORCHARD, WA 98366(360) 895-8841(360) 895-9350 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracy R. Johnson, Dds, Ps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY R. JOHNSON, DDS, PS (NPI 1376718957) is a healthcare organization registered as an oral and maxillofacial surgery in Port Orchard, Washington and active in the NPI registry since April 2008. The organization lists Tracy R Johnson, President/owner, as its authorized official.

NPPES Registry Identity

NPI1376718957
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTRACY R. JOHNSON, DDS, PS
Location Address2040 MITCHELL RD SEPort Orchard, WA 98366-4401
Mailing Address3377 Bethel Rd Se Ste 107, Pmb 184Port Orchard, WA 98366-5608 · (360) 895-8841 · Fax (360) 895-9350
Phone(360) 895-8841
Fax(360) 895-9350
Organization SubpartNo
Authorized OfficialTracy R JohnsonPresident/owner · (360) 895-8841
Enumeration DateApril 24, 2008
✔ NPI 1376718957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WA · DE00008961
Definition
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.
2040 MITCHELL RD SE, Port Orchard, WA 98366
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW J TELLINGTON D.M.D
Dentist (Oral and Maxillofacial Surgery)
2040 MITCHELL RD SE
PORT ORCHARD, WA 98366
Kitsap County (360) 895-8841
ANDREW J. TELLINGTON DMD, P.C.
Dentist (Oral and Maxillofacial Surgery)
2040 MITCHELL RD SE
PORT ORCHARD, WA 98366
Kitsap County (360) 895-8841

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy R. Johnson, Dds, Ps's NPI number?

The NPI number for Tracy R. Johnson, Dds, Ps is 1376718957. It was assigned to this organization in the NPPES registry on April 24, 2008.

Where is Tracy R. Johnson, Dds, Ps located?

Tracy R. Johnson, Dds, Ps is located at 2040 Mitchell Rd SE, Port Orchard, WA 98366. The listed phone number is (360) 895-8841.

What is Tracy R. Johnson, Dds, Ps's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Tracy R. Johnson, Dds, Ps accept?

Health plans from UnitedHealthcare list Tracy R. Johnson, Dds, Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tracy R. Johnson, Dds, Ps was last updated on April 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.