CAROLINA OMS ASSOCIATES LLC NPI 1104134899

NPI Information

  • NPI: 1104134899
  • Provider Name: CAROLINA OMS ASSOCIATES, LLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: SURFSIDE IMPLANT & ORAL SURGERY CENTER
  • Address: 1003 OLDE WATERFORD WAY STE 1A
    LELAND, NC
    ZIP 28451
  • Phone: (910) 793-9545

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NPI Details

CAROLINA OMS ASSOCIATES, LLC is an oral and maxillofacial surgery dentist in Leland, 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. CAROLINA OMS ASSOCIATES, LLC NPI is 1104134899. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Surfside Implant & Oral Surgery Center.

The provider's business location address is:

1003 OLDE WATERFORD WAY STE 1A
LELAND, NC
ZIP 28451-168
Phone: (910) 793-9545
Fax: (910) 397-0366

The provider's authorized official is Kristin E Hudson .
The authorized official title is Consultant and has the following contact phone number (910) 793-9545.

The enumeration date for this NPI number is 9/16/2010 and was last updated on 9/16/2010.

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
1122300000XDentist8366NORTH CAROLINANo
21223S0112XDentistOral and Maxillofacial Surgery8366NORTH CAROLINAYes

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This page was last updated on: 11/21/2025

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