NPI 1013079839

Tamma L Johnson-Gray, DDS

Practitioner General Practice Dentistry Baker, LA

Practice location

Address: 3508 Groom Rd, Baker, LA 70714-3508
Phone: (225) 774-3934
Mailing address: 1153 Cornerstone Dr, Baton Rouge, LA 70810-4774

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 8170 (TN)

Other Dentist providers in Louisiana →

Dentist

Dental Providers Taxonomy 122300000X Licence 6435 (LA)

Registry record

NPI: 1013079839
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Dec 2006
Record last updated: 8 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.