Gary Robert Johnson, D.D.S.
General Practice Dentistry · Berkeley, IL
Practice location
5646 Saint Charles RdSuite C
Berkeley, IL 60163-1148
- Phone
- (708) 544-7474
NPI record
- NPI
- 1649294927
- Entity type
- Individual (Type 1)
- Enumeration date
- July 27, 2006
- Last updated
- October 26, 2015
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
019017208 | IL |
| General Practice Dentistry | 1223G0001X |
319006856 | IL |
About Dr. Johnson
Gary Robert 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 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148. The NPI number 1649294927 was assigned on July 27, 2006 and the record was last updated on October 26, 2015.
Dr. Johnson lists 2 licenses in the registry: #019017208 (IL) for General Practice Dentistry; #319006856 (IL) 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 Gary Robert Johnson, D.D.S.?
The NPI number is 1649294927.
What is the phone number of Dr. Johnson?
The phone number listed for the practice location is (708) 544-7474.
Where is Dr. Johnson located?
5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148.
What is the taxonomy code for Dr. Johnson?
The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.
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.
Other General Practice Dentistry providers in Berkeley
- Michael Anthony Esposito, D.D.S.5646 Saint Charles Rd
- Michael a. Esposito DDS, P.C.5646 Saint Charles Rd
- Payam Zarei DDS-Berkeley Dental Care PC1752 N Taft Ave