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CAROLINA ORAL & FACIAL SURGERY P.A. NPI 1639232184


NPI Information

NPI: 1639232184
Provider Name: CAROLINA ORAL & FACIAL SURGERY, P.A.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
39 BRENDAN WAY
GREENVILLE, SC
ZIP 29615
Phone: (864) 458-9800
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CAROLINA ORAL & FACIAL SURGERY, P.A. is an oral and maxillofacial surgery dentist in Greenville, SC. 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 ORAL & FACIAL SURGERY, P.A. NPI is 1639232184. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

39 BRENDAN WAY
GREENVILLE, SC
ZIP 29615-514
Phone: (864) 458-9800
Fax: (864) 458-9860

The provider's authorized official is Bart David Williams .
The authorized official title is Ceo and has the following contact phone number (864) 458-9800.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 2/24/2012.


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 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
1F605050281MEDICARE UPINSOUTH CAROLINA
22340407MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINACOFS #
3ZA9824MEDICAIDSOUTH 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

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