TRACY LYNN JOHNSTON
NPI 1598422768
Advanced Practice Dental Therapist in Columbus, GA

Active since November 23, 2021
508 CLARADON AVE, COLUMBUS, GA 31906(706) 615-1977 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tracy Lynn Johnston NPPES

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

TRACY LYNN JOHNSTON (NPI 1598422768) is an individual advanced practice dental therapist in Columbus, Georgia, licensed in Georgia (987654) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1598422768
Entity TypeIndividualFemale
Primary Taxonomy125K00000X
Provider Legal NameTRACY LYNN JOHNSTON
Location Address508 CLARADON AVEColumbus, GA 31906-4354
Mailing Address3255 11th Airborne Div RdFort Benning, GA 31905-4354 · (706) 544-9071
Sole ProprietorNo
Enumeration DateNovember 23, 2021
NPPES CertifiedNovember 9, 2021
NPI 1598422768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice Dental TherapistDental Providers
Taxonomy Code125K00000X
License Licensed in GA · 987654
Definition
An Advanced Practice Dental Therapist is:
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.

The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.
508 CLARADON AVE, Columbus, GA 31906

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 Johnston's NPI number?

The NPI number for Tracy Johnston is 1598422768. It was assigned to this individual provider in the NPPES registry on November 23, 2021.

Where is Tracy Johnston located?

Tracy Johnston practices at 508 Claradon Ave, Columbus, GA 31906. The listed phone number is (706) 615-1977.

What is Tracy Johnston's specialty?

The primary specialty registered for this NPI is Advanced Practice Dental Therapist with taxonomy code 125K00000X.

When was this NPI record last updated?

The NPPES record for Tracy Johnston was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.