CAROLINA SURGICAL ARTS PA NPI 1508997883

NPI Information

CAROLINA SURGICAL ARTS PA is an oral and maxillofacial surgery dentist in Greensboro, NC. The provider is the specialty of dentistry which includes 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 SURGICAL ARTS PA NPI is 1508997883. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2516 OAKCREST AVE
SUITE B
GREENSBORO, NC
ZIP 27408-932
Phone: (336) 288-0677
Fax: (336) 288-0784

The provider's authorized official is Todd Gene Owsley .
The authorized official title is President and has the following contact phone number (336) 288-0677.

The CLIA number assigned to this NPI record is 34D1054669 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 1/26/2010.

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:

Other Identifiers

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