| Carolina Oral & Facial Surgery, P.a. | |
|
39 Brendan Way Greenville SC 29615-3514 | |
| (864) 458-9800 | |
| (864) 458-9860 |
| Full Name | Carolina Oral & Facial Surgery, P.a. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 39 Brendan Way, Greenville, South Carolina |
| Authorized Official Name and Position | Bart David Williams (CEO) |
| Authorized Official Contact | 8644589800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Oral & Facial Surgery, P.a. 39 Brendan Way Greenville SC 29615-3514 Ph: (864) 458-9800 | Carolina Oral & Facial Surgery, P.a. 39 Brendan Way Greenville SC 29615-3514 Ph: (864) 458-9800 |
| NPI Number | 1639232184 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 02/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639232184 | NPI | - | NPPES |
| ZA9824 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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