Johnson Oral Surgery

LBN: Iredell Oral & Facial Surgery Pc
Johnson Oral Surgery is an health care organization with primary practice located at 229 Medical Park Rd Suite 310, Mooresville NC 28117-8543. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Iredell Oral & Facial Surgery Pc can be contacted via phone (704) 799-0771, or through Mccarter, Kelly via phone (704) 799-0771.

Contact Information

Primary practice address
229 Medical Park Rd Suite 310 Mooresville NC 28117-8543
Phone: (704) 799-0771
Fax: (704) 799-2941
Website:
Map and Directions
Authorized official contact:
Name: Mccarter, Kelly
Phone: (704) 799-0771

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X 9900556 North Carolina

Profile Details

NPI number 1639353659
LBN Legal business name Iredell Oral & Facial Surgery Pc
DBA Doing business as Johnson Oral Surgery
Authorized official Mccarter, Kelly
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2007
Last updated Aug 29th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639353659 NPPES
North Carolina MEDICAID 891218U
North Carolina Other 1218U

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