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: July 19, 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
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

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376718957, enumerated as an "organization" on April 24, 2008.

The provider is located at 2040 MITCHELL RD SE PORT ORCHARD, WA 98366 and the phone number is (360) 895-8841.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.