Individual provider · Type 1 NPI
Matthew Jeffrey Johnson Jr., MD
Oral and Maxillofacial Surgery (Dentist) · Mooresville, NC
Practice location
229 Medical Park Rd Ste 300
Mooresville, NC 28117-8544
Fax (704) 360-2221
Mailing address
125 Trade Ct # 26
Mooresville, NC 28117-5545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 2019-02699 (NC) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 2019-02699 (NC) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Mooresville
- Matthew Jeffrey Johnson, MD, DMDOral and Maxillofacial Surgery (Dentist) Mooresville, NC NPI 1437240728
- Travis Nesbitt, DMDOral and Maxillofacial Surgery (Dentist) Mooresville, NC NPI 1437532736
- Darren Richard Cross, DDSOral and Maxillofacial Surgery (Dentist) Mooresville, NC NPI 1497829311
- John Anthony Johnson, DMD, MDOral and Maxillofacial Surgery (Dentist) Mooresville, NC NPI 1639174162
About NPI 1255710810
Matthew Jeffrey Johnson Jr., MD's National Provider Identifier is 1255710810, issued on May 28, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mooresville, NC. The record was last updated on Apr 1, 2022.