DR. RAYMOND GORDON JOHNSON JR.


Address: 2260 Northlake Parkway, Suite 220, Tucker, GA 30084-4006
Phone: 7704920250

DR. RAYMOND GORDON JOHNSON JR. (NPI# 1831272376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831272376
Entity Type Individual
Full Name DR. RAYMOND GORDON JOHNSON JR.
Credential DDS
Practice Address 2260 Northlake Parkway
Suite 220
Tucker
GA 30084-4006
Practice Telephone 7704920250
Practice Fax Number 7704920750
Mailing Telephone 7704920250
Mailing Fax Number 7704920750
Enumeration Date 2006-10-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 7587GEORGIA GA Dental Providers

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1497711154 Raymond M Johnson Internal Medicine 635 Barnhill Dr, Ms 224, Indianapolis, IN 46202-5126 2006-04-21
1770020588 Raymond Johnson Massage Therapist 2403 Se Monroe St, Milwaukie, OR 97222-7646 2017-01-31
1447633706 Raymond Johnson Physician Assistant 585 E State St, Sharon, PA 16146-2004 2015-07-06
1538449442 Raymond Blair Johnson IIi Counselor 5050 Madison Rd, Cincinnati, OH 45227-1491 2011-08-23
1740466333 Raymond Johnson Counselor 503 State St, Springfield, MA 01109-4101 2008-01-14
1871787614 Raymond Louis Johnson Military Health Care Provider 327 Coral Sea Rd, Suite 165, Ingleside, TX 78362-5055 2007-09-05
1386707719 Raymond A Johnson Psychiatry & Neurology 134 W Market St, Lewistown, PA 17044-2129 2006-12-18
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Office Location

Street Address 2260 NORTHLAKE PARKWAY
SUITE 220
City TUCKER
State GA
Zip Code 30084-4006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225129265 Norman David Busch Dentist 2260 Northlake Parkway, Suite 211, Tucker, GA 30084 2006-09-27
1619367968 Angel I A M Care, Inc. Day Training, Developmentally Disabled Services 2260 Northlake Parkway, Suite 100, Tucker, GA 30084 2015-01-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609401355 Excellent Medical Transport Ambulance 4378 Sentry Dr, Tucker, GA 30084 2020-03-03
1811468796 Caleb Lee Ebbets Physical Therapist 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 2018-12-17
1417436130 Benjamin Han Wook Chong Physical Therapist 1460 Montreal Road East, Suite 300, Tucker, GA 30084 2018-08-13
1336659325 Lavista Acupuncture and Herbal Medicine Acupuncturist 4915 Lavista Rd, Tucker, GA 30084 2017-10-04
1699294207 Debrica Butler Counselor 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 2017-09-14
1295264695 Jolanta Wazgowska Hopkins Social Worker 4404 Idlewood Lane, Tucker, GA 30084 2017-06-08
1164956157 Sage Dental Group of Georgia LLC Dentist 4320 Lavista Rd, Suite C119, Tucker, GA 30084 2017-04-17
1689107807 Mashail Manzur Podiatrist 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 2017-04-05
1053765578 Jessica Spruyt Speech-Language Pathologist 3756 Lavista Rd Suite 104, Tucker, GA 30084 2016-04-21
1265802318 Spine and Orthopedics of Atlanta, LLC Clinic/Center 1462 Montreal Rd Ste 218, Tucker, GA 30084 2015-10-01
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992319271 Jillian Nicole Felton Dentist 4070 Lavista Rd Ste 102, Tucker, GA 30084-5228 2020-09-03
1164956157 Sage Dental Group of Georgia LLC Dentist 4320 Lavista Rd, Suite C119, Tucker, GA 30084 2017-04-17
1285177295 Lavista Park Family Dentistry,llc Dentist 3939 Lavista Rd, Suite 320e, Tucker, GA 30084-5162 2016-11-22
1124410097 Jessica Breedlove Dentist 2400 State Farm Rd, Tucker, AR 72168-9503 2015-03-02
1952661258 Meena H. Mehta Dentist 3981 Lawrenceville Hwy Ste A, Tucker, GA 30084-4525 2012-05-21
1437317757 Joseph Olem Brannen Dentist 4394 Hugh Howell Rd Suite 7, Tucker, GA 30084-4913 2008-05-23
1821210758 Douglas R Wurster Dentist 2183 Northlake Parkway, #108, Tucker, GA 30084-4108 2007-05-02
1386861904 Neelima Chiru Dentist 2260 Northlake Pkwy, Suite 220, Tucker, GA 30084-4036 2007-04-18
1558493882 Eric Taliaferro Washington Dentist 4500 Hiugh Howell Rd, Suite 710, Tucker, GA 30084 2007-03-12
1710051420 Atlanta Emergency Dental PC Dentist 4060 Lavista Rd, Tucker, GA 30084 2006-11-17
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Competitor

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City TUCKER
Zip Code 30084

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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