Johnson, Matthew Jeffrey

Johnson, Matthew Jeffrey is an sole proprietor health care provider with primary practice located at 229 Medical Park Rd Suite 310 , Mooresville NC 28117-8522. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Johnson, Matthew Jeffrey can be contacted via phone (704) 799-0771.

Contact Information

Primary practice address
229 Medical Park Rd Suite 310 Mooresville NC 28117-8522
Phone: (704) 799-0771
Fax: (704) 799-2941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 9900556 North Carolina

Profile Details

NPI number 1437240728
LBN Legal business name Johnson, Matthew Jeffrey
Credentials MD, DMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Feb 8th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437240728 NPPES
North Carolina Other 8742082 UNITED HEALTHCARE
North Carolina MEDICAID 891218U UNITED HEALTHCARE
North Carolina Other 1218U UNITED HEALTHCARE
North Carolina Other 5738691002 UNITED HEALTHCARE
North Carolina Other 536660 UNITED HEALTHCARE
North Carolina Other 7082247 UNITED HEALTHCARE
North Carolina Other 89902HV UNITED HEALTHCARE

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