Provider Type Icon

ATLANTIC ORAL SURGERY CENTER PLLC NPI 1467193599


NPI Information

NPI: 1467193599
Provider Name: ATLANTIC ORAL SURGERY CENTER, PLLC
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

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

ATLANTIC ORAL SURGERY CENTER, PLLC is an oral and maxillofacial surgery clinic center in Mooresville, NC. The provider is an oral and maxillofacial surgery clinic or center 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. ATLANTIC ORAL SURGERY CENTER, PLLC NPI is 1467193599. The provider is registered as an organization entity type.

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 provider's authorized official is Matthew Jeffrey Johnson .
The authorized official title is Physician and has the following contact phone number (704) 360-9995.

The enumeration date for this NPI number is 4/5/2022 and was last updated on 5/3/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

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: 4/28/2024

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.