Dr Matthew Jeffrey Johnson Jr, MD is a
Dentist - Oral And Maxillofacial Surgery physician based in Mooresville, North Carolina. Dr Matthew Jeffrey Johnson Jr is licensed to practice in North Carolina (license number 2019-02699) and his current practice location is 229 Medical Park Rd Ste 300, Mooresville, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(704) 360-9995.
NPI number for Dr Matthew Jeffrey Johnson Jr is 1255710810 and his current mailing address is 125 Trade Ct # 26, Mooresville, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255710810.
Physician's Profile
| Full Name | Dr Matthew Jeffrey Johnson Jr |
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| Gender | Male |
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| Speciality | Dentist - Oral And Maxillofacial Surgery |
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| Location | 229 Medical Park Rd Ste 300, Mooresville, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255710810
- Provider Enumeration Date: 05/28/2015
- Last Update Date: 04/01/2022
Medical Identifiers
Medical identifiers for Dr Matthew Jeffrey Johnson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255710810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 2019-02699 (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2019-02699 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Matthew Jeffrey Johnson Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Matthew Jeffrey Johnson Jr, MD
125 Trade Ct # 26,
Mooresville, NC 28117-5545
Ph: (704) 360-9995 | Dr Matthew Jeffrey Johnson Jr, MD
229 Medical Park Rd Ste 300,
Mooresville, NC 28117-8544
Ph: (704) 360-9995 |
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