Dr Matthew Jeffrey Johnson Jr, MD - Medicare Dentist in Mooresville, NC

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Dr Matthew Jeffrey Johnson Jr, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" physician in Mooresville, North Carolina. His current practice location is 229 Medical Park Rd Ste 300, Mooresville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 360-9995.

Dr Matthew Jeffrey Johnson Jr is licensed to practice in North Carolina (license number 2019-02699) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255710810.

Contact Information

Dr Matthew Jeffrey Johnson Jr, MD
229 Medical Park Rd Ste 300,
Mooresville, NC 28117-8544
(704) 360-9995
(704) 360-2221



Physician's Profile

Full NameDr Matthew Jeffrey Johnson Jr
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location229 Medical Park Rd Ste 300, Mooresville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255710810
  • Provider Enumeration Date: 05/28/2015
  • Last Update Date: 04/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4385953843
  • Enrollment ID: I20220603002195

Medical Identifiers

Medical identifiers for Dr Matthew Jeffrey Johnson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255710810NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 2019-02699 (North Carolina)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
1223S0112XDentist - Oral And Maxillofacial Surgery 2019-02699 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Matthew Jeffrey Johnson Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Matthew Jeffrey Johnson Jr, MD
125 Trade Ct # 26,
Mooresville, NC 28117-5545

Ph: (704) 360-9995		Dr Matthew Jeffrey Johnson Jr, MD
229 Medical Park Rd Ste 300,
Mooresville, NC 28117-8544

Ph: (704) 360-9995

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