Dr. Bruce Roy Johnson, DDS
Dentist, Dental Public Health in Tacoma, WA. Individual provider (NPI-1).
NPI number1629011069
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1629011069
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bruce Roy Johnson
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223D0001X | Dentist, Dental Public Health | DE00006627 | WA | Yes |
Practice location
2209 E 32nd StTacoma, WA 98404-4922
Phone 253-593-0232
Mailing address
17308 97th Avenue Ct EPuyallup, WA 98375-9682
Phone 253-840-5462
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