| Carolina Center For Oral And Maxillofacial Surgery | |
|
115 Powell Mill Rd Spartanburg SC 29301-1531 | |
| (864) 574-2011 | |
| (864) 576-7377 |
| Full Name | Carolina Center For Oral And Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 115 Powell Mill Rd, Spartanburg, South Carolina |
| Authorized Official Name and Position | Adam R Blumer (PRESIDENT) |
| Authorized Official Contact | 8645742011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Center For Oral And Maxillofacial Surgery 115 Powell Mill Rd Spartanburg SC 29301-1531 Ph: (864) 574-2011 | Carolina Center For Oral And Maxillofacial Surgery 115 Powell Mill Rd Spartanburg SC 29301-1531 Ph: (864) 574-2011 |
| NPI Number | 1093198400 |
|---|---|
| Provider Enumeration Date | 07/02/2015 |
| Last Update Date | 08/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093198400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 8500 (South Carolina) | Primary |
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