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DR. MATTHEW JEFFREY JOHNSON JR. MD
NPI 1255710810
Dentist - Oral and Maxillofacial Surgery in Mooresville, NC

Active since May 28, 2015
229 MEDICAL PARK RD STE 300, MOORESVILLE, NC 28117(704) 360-9995(704) 360-2221 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matthew Jeffrey Johnson Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW JEFFREY JOHNSON JR. MD (NPI 1255710810) is an individual oral and maxillofacial surgery provider in Mooresville, North Carolina, licensed in North Carolina (2019-02699) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1255710810
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MATTHEW JEFFREY JOHNSON JR.Credential: MD
Location Address229 MEDICAL PARK RD STE 300Mooresville, NC 28117-8544
Mailing Address125 Trade Ct # 26Mooresville, NC 28117-5545 · (704) 360-9995 · Fax (704) 360-2221
Phone(704) 360-9995
Fax(704) 360-2221
Sole ProprietorNo
Enumeration DateMay 28, 2015
Last NPPES UpdateApril 1, 2022
NPPES CertifiedApril 1, 2022
✔ NPI 1255710810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NC · 2019-02699
Definition
An oral and maxillofacial surgery dentist specialized in 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.
Also ListedSurgeryTaxonomy 208600000X · License 2019-02699 (NC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
229 MEDICAL PARK RD STE 300, Mooresville, NC 28117
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATLANTIC ORAL SURGERY CENTER, PLLC
Clinic/Center (Oral and Maxillofacial Surgery)
229 MEDICAL PARK RD STE 300
MOORESVILLE, NC 28117
Iredell County (704) 360-9995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Johnson's NPI number?

The NPI number for Matthew Johnson is 1255710810. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Matthew Johnson located?

Matthew Johnson practices at 229 Medical Park Rd Ste 300, Mooresville, NC 28117. The listed phone number is (704) 360-9995.

What is Matthew Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Matthew Johnson was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.