ATLANTIC ORAL SURGERY CENTER, PLLC; NPI #1467193599

Contact Information

ATLANTIC ORAL SURGERY CENTER, PLLC

229 MEDICAL PARK RD STE 300
MOORESVILLE, NC 28117-8544

Phone: 704-360-9995
Fax: 704-360-2221
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for ATLANTIC ORAL SURGERY CENTER, PLLC

NPI Number	`1467193599`
LBN Legal business name	ATLANTIC ORAL SURGERY CENTER, PLLC
Authorized official	MATTHEW JOHNSON - (PHYSICIAN)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/05/2022
Last updated	05/03/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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