Gary Johnson, DMD
NPI 1134579071 · on the registry since 2016
Practice
- Address
- 145 Traders Way
Suite D
Pooler, GA 31322 - Phone
- (912) 748-4494
- Fax
- (912) 748-9302
- Organisation at this address
- Tracy E. Durham Dds Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-06-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia