Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dr. Tracy R Johnson, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1548241219

Dr. Tracy R Johnson, DDS is registered under Oral and Maxillofacial Surgery (Dentist) in Lakewood, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Texas and Washington.

Licensed in
TX, WA
In the registry since
2005
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

9101 Bridgeport Way SW Bldg B2
Lakewood, WA 98499-2419
Phone: (253) 584-0858
Fax: (253) 584-1446
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8745 Pacific Ave Nw Ste 103, Silverdale, WA 98383-8394 — (253) 584-0858

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DE00008961 (WA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 13638 (TX)

Record details

NPI number1548241219
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 9, 2005
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients13
Services billed 17 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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