Individual provider · Type 1 NPI

Matthew Jeffrey Johnson, MD, DMD

Oral and Maxillofacial Surgery (Dentist) · Mooresville, NC

NPI number 1437240728 Active

Practice location

229 Medical Park Rd Suite 310
Mooresville, NC 28117-8522

Fax (704) 799-2941

Mailing address

229 Medical Park Rd Ste 310
Mooresville, NC 28117-8544

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X9900556 (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.

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About NPI 1437240728

Matthew Jeffrey Johnson, MD, DMD's National Provider Identifier is 1437240728, issued on Sep 28, 2006. 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 Feb 8, 2008.