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JOHNSON ORAL SURGERY
NPI 1639353659
Clinic/Center - Oral and Maxillofacial Surgery in Mooresville, NC

Active since December 27, 2007
229 MEDICAL PARK RD, SUITE 310, MOORESVILLE, NC 28117(704) 799-0771(704) 799-2941 Get Directions Write a Review

NPPES record last updated: August 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johnson Oral Surgery NPPES

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

JOHNSON ORAL SURGERY (NPI 1639353659) is a healthcare organization registered as an oral and maxillofacial surgery in Mooresville, North Carolina and active in the NPI registry since December 2007. The organization lists Kelly Mccarter, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1639353659
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameIREDELL ORAL & FACIAL SURGERY PC
Location Address229 MEDICAL PARK RD, SUITE 310Mooresville, NC 28117-8543
Mailing Address229 Medical Park Rd, Suite 310Mooresville, NC 28117-8543 · (704) 799-0771 · Fax (704) 799-2941
Phone(704) 799-0771
Fax(704) 799-2941
Organization SubpartNo
Authorized OfficialKelly MccarterOffice Manager · (704) 799-0771
Enumeration DateDecember 27, 2007
Last NPPES UpdateAugust 29, 2014
✔ NPI 1639353659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
License✔ Licensed in NC · 9900556
Definition
An oral and maxillofacial surgery clinic or center 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.
229 MEDICAL PARK RD, Mooresville, NC 28117
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Other Names 1

Doing Business AsJohnson Oral Surgery

Other Identifiers 4

Medicaid891218UNC
Other1218UNC · Blue Cross Blue Shield
Medicare PIN2331506NC
Medicare UPINH00352NC

Other Providers at the Same Location NPPES

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

DR. CRAIG DAVID MILLER D.D.S.
Dentist (General Practice)
229 MEDICAL PARK RD, SUITE 220
MOORESVILLE, NC 28117
Iredell County (704) 663-9354

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 Iredell Oral & Facial Surgery PC's NPI number?

The NPI number for Iredell Oral & Facial Surgery PC is 1639353659. It was assigned to this organization in the NPPES registry on December 27, 2007. The provider is doing business as Johnson Oral Surgery.

Where is Iredell Oral & Facial Surgery PC located?

Iredell Oral & Facial Surgery PC is located at 229 Medical Park Rd Suite 310, Mooresville, NC 28117. The listed phone number is (704) 799-0771.

What is Iredell Oral & Facial Surgery PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Iredell Oral & Facial Surgery PC was last updated on August 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.