OrganizationActive
Atlantic Oral Surgery Center, PLLC
NPI 1467193599 · Oral and Maxillofacial Surgery Clinic/Center · Mooresville, NC
Provider details
- NPI number
- 1467193599
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Matthew Johnson, Physician
Practice location
229 Medical Park Rd Ste 300
Mooresville, NC 28117-8544
Phone: (704) 360-9995
Fax: (704) 360-2221
Mailing address
125 Trade Ct Ste F
Mooresville, NC 28117-5546
Registry dates
- Enumerated
- 2022-04-05
- Last updated
- 2022-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.