National Provider Identifier Database

ATLANTIC ORAL SURGERY CENTER PLLC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

ATLANTIC ORAL SURGERY CENTER, PLLC
229 MEDICAL PARK RD STE 300
MOORESVILLE, NC28117-8544
Phone: 704-360-9995
Fax: 704-360-2221
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for ATLANTIC ORAL SURGERY CENTER, PLLC

NPI Number 1467193599
Legal business name
LBN
ATLANTIC ORAL SURGERY CENTER, PLLC
Authorized official MATTHEW JOHNSON - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 04/05/2022
Last updated 05/03/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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