Tracy R. Johnson, Dds, Ps | |
2040 Mitchell Rd Se Port Orchard WA 98366-4401 | |
(360) 895-8841 | |
(360) 895-9350 |
Full Name | Tracy R. Johnson, Dds, Ps |
---|---|
Speciality | Dentist |
Location | 2040 Mitchell Rd Se, Port Orchard, Washington |
Authorized Official Name and Position | Tracy R Johnson (PRESIDENT/OWNER) |
Authorized Official Contact | 3608958841 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tracy R. Johnson, Dds, Ps 3377 Bethel Rd Se Ste 107 Pmb 184 Port Orchard WA 98366-5608 Ph: (360) 895-8841 | Tracy R. Johnson, Dds, Ps 2040 Mitchell Rd Se Port Orchard WA 98366-4401 Ph: (360) 895-8841 |
NPI Number | 1376718957 |
---|---|
Provider Enumeration Date | 04/24/2008 |
Last Update Date | 04/24/2008 |
Medicare PECOS PAC ID | 5991874786 |
---|---|
Medicare Enrollment ID | O20080520000386 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376718957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE00008961 (Washington) | Primary |
Provider Name | Tracy R Johnson |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1548241219 PECOS PAC ID: 1759469646 Enrollment ID: I20080417000241 |
Yeh Dds Msd & Leu Dds Ps Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 700 Prospect St Ste 100, Port Orchard, WA 98366 Phone: 360-876-3171 | |
J Eric Janaszak Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10407 Se Olympiad Dr., Port Orchard, WA 98366 Phone: 206-715-9391 | |
South Kitsap Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1953 Pottery Ave, Port Orchard, WA 98366 Phone: 360-876-6211 Fax: 360-876-7952 | |
Steven C. Chobot, Dds, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1590 Woodridge Dr Se, Port Orchard, WA 98366 Phone: 360-871-5100 Fax: 360-871-5104 | |
Justin L. Robison Dmd P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1590 Woodridge Dr Se, Port Orchard, WA 98366 Phone: 360-871-5100 | |
Chris Mueller Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 Bay St, Port Orchard, WA 98366 Phone: 360-895-1401 Fax: 360-895-1296 | |
Cameron Warner Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3590 Sw Bellevue Way, Port Orchard, WA 98367 Phone: 360-524-2732 |