OrganizationActive
Gary R. Johnson, D.D.S., P.C.
NPI 1366466930 · Dental Clinic/Center · Berkeley, IL
Provider details
- NPI number
- 1366466930
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gary Johnson, President(708) 544-7474
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5646 Saint Charles Rd
Suite C
Berkeley, IL 60163-1148
Phone: (708) 544-7474
Approximate (ZIP-level) locationGet directions
Mailing address
5646 Saint Charles Rd
Berkeley, IL 60163-1148
Other names (DBA / former)
- Doing business as
- Berkeley Dental Clinic
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2015-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.