Dr. Grady Earl Johnson Jr. is a Jacksonville, Florida based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Grady Earl Johnson Jr. is DN 7137 for General Practice Dentistry in Florida. His current practice location is 4273 Point La Vista Rd S, Jacksonville. Patients can reach him at 904-398-0404.
Dr. Grady Earl Johnson Jr. is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Grady Earl Johnson Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Grady Earl Johnson Jr.
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
4273 Point La Vista Rd S, Jacksonville, Florida, 32207-6243
Phone:
904-398-0404
Fax:
904-398-0404
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1861508715
NPI Enumeration Date:
22 Aug, 2006
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Grady Earl Johnson Jr. are as mentioned below.
License Number
Specialization
State
Status
DN 7137
General Practice Dentistry
Florida
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Grady Earl Johnson Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
074459000
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4273 Point La Vista Rd S, Jacksonville, Florida
Zip:
32207-6243
Phone Number:
904-398-0404
Fax Number:
904-398-0404
Patients can reach Dr. Grady Earl Johnson Jr. at 4273 Point La Vista Rd S, Jacksonville, Florida or can call to book an appointment on 904-398-0404. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.