Mooresville Oral Surgery

LBN: Rowan Oral & Facial Surgery Pc
Mooresville Oral Surgery is an health care organization with primary practice located at 858 Brawley School Rd Suite C, Mooresville NC 28117-6852. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Rowan Oral & Facial Surgery Pc can be contacted via phone (704) 799-3555, or through Johnson, John A via phone (704) 799-3555.

Contact Information

Primary practice address
858 Brawley School Rd Suite C Mooresville NC 28117-6852
Phone: (704) 799-3555
Fax: (704) 799-3095
Website:
Map and Directions
Authorized official contact:
Name: Johnson, John A D.M.D., M.D.
Phone: (704) 799-3555

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X North Carolina

Profile Details

NPI number 1376595413
LBN Legal business name Rowan Oral & Facial Surgery Pc
DBA Doing business as Mooresville Oral Surgery
Authorized official Johnson, John A D.M.D., M.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1376595413 NPPES
North Carolina MEDICAID 89136CU

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