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DR. MATTHEW JEFFREY JOHNSON MD NPI 1255710810


NPI Information

NPI: 1255710810
Provider Name: DR. MATTHEW JEFFREY JOHNSON, MD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
229 MEDICAL PARK RD STE 300
MOORESVILLE, NC
ZIP 28117
Phone: (704) 360-9995
Get Directions

DR. Matthew Jeffrey Johnson, MD is an oral and maxillofacial surgery dentist in Mooresville, NC. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Matthew Jeffrey Johnson, MD NPI is 1255710810. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

229 MEDICAL PARK RD STE 300
MOORESVILLE, NC
ZIP 28117-544
Phone: (704) 360-9995
Fax: (704) 360-2221

The NPI 1255710810 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/28/2015 and was last updated on 4/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery2019-02699NORTH CAROLINANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
31223S0112XDentistOral and Maxillofacial Surgery2019-02699NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.