ROWAN ORAL & FACIAL SURGERY PC NPI 1376595413

NPI Information

  • NPI: 1376595413
  • Provider Name: ROWAN ORAL & FACIAL SURGERY PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: MOORESVILLE ORAL SURGERY
  • Address: 858 BRAWLEY SCHOOL RD
    SUITE C
    MOORESVILLE, NC
    ZIP 28117
  • Phone: (704) 799-3555

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NPI Details

ROWAN ORAL & FACIAL SURGERY PC is a specialist in Mooresville, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ROWAN ORAL & FACIAL SURGERY PC NPI is 1376595413. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mooresville Oral Surgery.

The provider's business location address is:

858 BRAWLEY SCHOOL RD
SUITE C
MOORESVILLE, NC
ZIP 28117-852
Phone: (704) 799-3555
Fax: (704) 799-3095

The provider's authorized official is John A Johnson .
The authorized official title is President/surgeon and has the following contact phone number (704) 799-3555.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 8/22/2020.

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
1174400000XSpecialistNORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
189136CUMEDICAIDNORTH CAROLINA

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: 11/21/2025

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