Organization
ATLANTIC ORAL SURGERY CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW JEFFREY JOHNSON JR. MD, MPH (PHYSICIAN)
(704) 360-9995
Entity
Organization
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 STE F, MOORESVILLE, NC 28117-5546
(704) 360-9995
(704) 360-2221
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
05/03/2022
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