Individual
DR. MATTHEW JEFFREY JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
229 MEDICAL PARK RD STE 300, MOORESVILLE, NC 28117-8544
(704) 360-9995
(704) 360-2221
Mailing address
125 TRADE CT # 26, MOORESVILLE, NC 28117-5545
(704) 360-9995
(704) 360-2221
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2019-02699
NC
208600000X
Surgery Physician
2019-02699
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2015
Last updated
04/01/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us