# ROGER D. JOHNSON, DDS,PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831398767
- **Authorized official:** DR. ROGER DALE JOHNSON DDS (PRESIDENT)
- **Authorized official phone:** (253) 851-9963

## Contact information

- **Practice address:** 7525 PIONEER WAY STE 102, GIG HARBOR, WA 98335-1165
- **Practice address phone:** (253) 851-9963
- **Practice address fax:** (253) 858-2425
- **Mailing address:** 7525 PIONEER WAY STE 102, GIG HARBOR, WA 98335-1165
- **Mailing address phone:** (253) 851-9963
- **Mailing address fax:** (253) 858-2425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4872 | WA | Yes |

## Other

- **Enumeration date:** 07/11/2007
- **Last updated:** 07/11/2007