Gregory Wade Johnson, D.D.S
General Practice Dentistry · Coweta, OK
Practice location
129 S BroadwayCoweta, OK 74429-4101
- Phone
- (918) 279-8880
- Fax
- (918) 279-1698
NPI record
- NPI
- 1568671873
- Entity type
- Individual (Type 1)
- Enumeration date
- May 22, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
3650 | OK |
About Dr. Johnson
Gregory Wade Johnson, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 129 S Broadway, Coweta, OK 74429-4101. The NPI number 1568671873 was assigned on May 22, 2007 and the record was last updated on July 8, 2007.
Dr. Johnson lists a license in the registry: #3650 (OK) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Gregory Wade Johnson, D.D.S?
The NPI number is 1568671873.
What is the phone number of Dr. Johnson?
The phone number listed for the practice location is (918) 279-8880.
Where is Dr. Johnson located?
129 S Broadway, Coweta, OK 74429-4101.
What is the taxonomy code for Dr. Johnson?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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