Carolina Oral & Facial Surgery | |
4 Market St Suite 4204 Brevard NC 28712-5635 | |
(828) 862-8648 | |
(864) 458-9860 |
Full Name | Carolina Oral & Facial Surgery |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 4 Market St, Brevard, North Carolina |
Authorized Official Name and Position | Bart David Williams (CHAIRMAN) |
Authorized Official Contact | 8644589800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carolina Oral & Facial Surgery 4 Market St Suite 4204 Brevard NC 28712-5635 Ph: (828) 862-8648 | Carolina Oral & Facial Surgery 4 Market St Suite 4204 Brevard NC 28712-5635 Ph: (828) 862-8648 |
NPI Number | 1528470804 |
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Provider Enumeration Date | 05/21/2014 |
Last Update Date | 05/21/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528470804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 9801804 (North Carolina) | Primary |
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