Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Grady Earl Johnson Jr., DMD

Individual provider General Practice Dentistry · NPI 1861508715

Dr. Grady Earl Johnson Jr., DMD is a General Practice Dentistry in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4273 Point La Vista Rd S
Jacksonville, FL 32207-6243
Phone: (904) 398-0404
Fax: (904) 398-0404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN 7137 (FL)

Record details

NPI number1861508715
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 22, 2006
Last updated in NPPESMarch 7, 2023

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