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DRS FARRELL FARRELL NALE COOK KAPITAN MOHAMED FRANCO WESSEL HO NPI 1972554186


NPI Information

NPI: 1972554186
Provider Name: DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO

Doing Business As: CAROLINAS CENTER FOR ORAL AND FACIAL SURGERY

Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization

CLIA Number: 34D2136053

Address:
411 BILLINGSLEY RD
SUITE 105
CHARLOTTE, NC
ZIP 28211
Phone: (704) 347-3900
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DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO is an oral maxillofacial surgery in Charlotte, NC. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO NPI is 1972554186. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carolinas Center For Oral And Facial Surgery.

The provider's business location address is:

411 BILLINGSLEY RD
SUITE 105
CHARLOTTE, NC
ZIP 28211-066
Phone: (704) 347-3900
Fax: (704) 347-0133

The provider's authorized official is Jennifer Rayle Hock .
The authorized official title is Director Of Billing and has the following contact phone number (704) 295-4653.

The CLIA number assigned to this NPI record is 34D2136053 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/12/2006 and was last updated on 3/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryNo
2204E00000XOral & Maxillofacial SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1890328MMEDICAIDNORTH CAROLINA
2ZAN993MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.