Dr Gregory Lee Johnson, DDS - Dentist in Fairbanks, AK

Dr Gregory Lee Johnson, DDS is a Dentist - Pediatric Dentistry based in Fairbanks, Alaska. Dr Gregory Lee Johnson is licensed to practice in Alaska (license number 657) and his current practice location is 114 Minnie St, Suite E, Fairbanks, Alaska. He can be reached at his office (for appointments etc.) via phone at (907) 388-3252.

NPI number for Dr Gregory Lee Johnson is 1376571521 and his current mailing address is 114 Minnie St, Suite E, Fairbanks, Alaska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376571521.

Contact Information

Dr Gregory Lee Johnson, DDS
114 Minnie St, Suite E,
Fairbanks, AK 99701-3006
(907) 388-3252
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Gregory Lee Johnson
GenderMale
SpecialityDentist - Pediatric Dentistry
Location114 Minnie St, Fairbanks, Alaska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376571521
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 02/05/2022

Medical Identifiers

Medical identifiers for Dr Gregory Lee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376571521NPI-NPPES
DD0657MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 657 (Alaska)Primary
1223P0221XDentist - Pediatric Dentistry 2954 (Wisconsin)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gregory Lee Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Gregory Lee Johnson, DDS
114 Minnie St, Suite E,
Fairbanks, AK 99701-3006

Ph: (907) 388-3252
Dr Gregory Lee Johnson, DDS
114 Minnie St, Suite E,
Fairbanks, AK 99701-3006

Ph: (907) 388-3252

Reviews and Comments


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