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ADVANCED FACIAL SURGERY AND ANESTHESIA PLLC NPI 1083214365


NPI Information

NPI: 1083214365
Provider Name: ADVANCED FACIAL SURGERY AND ANESTHESIA PLLC

Doing Business As: ORAL AND FACIAL SURGERY OF THE CAROLINAS

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
301 INDIAN TRAIL RD S
INDIAN TRAIL, NC
ZIP 28079
Phone: (704) 839-0535
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ADVANCED FACIAL SURGERY AND ANESTHESIA PLLC is an oral and maxillofacial surgery dentist in Indian Trail, NC. The provider is an oral and maxillofacial surgery dentist specialized in 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. ADVANCED FACIAL SURGERY AND ANESTHESIA PLLC NPI is 1083214365. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Oral And Facial Surgery Of The Carolinas.

The provider's business location address is:

301 INDIAN TRAIL RD S
INDIAN TRAIL, NC
ZIP 28079-101
Phone: (704) 839-0535

The provider's authorized official is Din Lam .
The authorized official title is Owner and has the following contact phone number (646) 584-8007.

The enumeration date for this NPI number is 10/27/2020 and was last updated on 6/10/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes
2207L00000XAnesthesiologyNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11164979589MEDICAIDNORTH 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: 5/5/2024

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.