Organization
ROWAN ORAL & FACIAL SURGERY PC
Active
Other names
MOoresville Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A JOHNSON D.M.D., M.D. (PRESIDENT/SURGEON)
(704) 799-3555
Entity
Organization
Contact information
Practice address
858 BRAWLEY SCHOOL RD, SUITE C, MOORESVILLE, NC 28117-6852
(704) 799-3555
(704) 799-3095
Mailing address
858 BRAWLEY SCHOOL RD, SUITE C, MOORESVILLE, NC 28117-6852
(704) 799-3555
(704) 799-3095
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89136CU
—
NC
Enumeration date
05/17/2006
Last updated
08/22/2020
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