Tracy Lynn Johnston
Tracy Lynn Johnston is an Advanced Practice Dental Therapist in Columbus, Georgia. Licensed in Georgia. Registered with an NPI since 2021.
- Licensed in
- GA
- In the registry since
- 2021
Practice location Address checks out
508 Claradon AveColumbus, GA 31906-4354
Phone: (706) 615-1977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Advanced Practice Dental Therapist (primary) | Taxonomy 125K00000X · Licence 987654 (GA) |
|---|
Record details
| NPI number | 1598422768 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 23, 2021 |
| Last updated in NPPES | November 23, 2021 |
| Certification date | November 9, 2021 |
| Mailing address | 3255 11th Airborne Div Rd, Fort Benning, GA 31905-4354 |