| Carolina Oral & Maxillofacial Surgery | |
|
105 Ben Casey Dr Suite 115 Fort Mill SC 29708-8561 | |
| (803) 548-9910 | |
| (803) 548-9915 |
| Full Name | Carolina Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 105 Ben Casey Dr, Fort Mill, South Carolina |
| Authorized Official Name and Position | Kenneth Martin Burtner (ORAL SURGEON) |
| Authorized Official Contact | 8035489910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Oral & Maxillofacial Surgery 105 Ben Casey Dr Suite 115 Fort Mill SC 29708-8561 Ph: (803) 548-9910 | Carolina Oral & Maxillofacial Surgery 105 Ben Casey Dr Suite 115 Fort Mill SC 29708-8561 Ph: (803) 548-9910 |
| NPI Number | 1093848368 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093848368 | NPI | - | NPPES |
| 5903373 | Medicaid | NC | |
| ZX3553 | Medicaid | SC | |
| ZA9491 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3553611 (South Carolina) | Primary |
Gold Hill Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2848 Pleasant Rd, Suite 104, Fort Mill, SC 29708 Phone: 803-547-4466 Fax: 803-547-4660 | |
Lawrence J. Lorenzi, D.m.d., L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2999 Eppington South Dr, Fort Mill, SC 29708 Phone: 803-548-8325 | |
Dental Wellness Center Of Fort Mill, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 749 Stockbridge Dr, Fort Mill, SC 29708 Phone: 888-885-8492 | |
Catawba River Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N Dobys Bridge Rd Ste 108, Fort Mill, SC 29715 Phone: 803-396-5888 Fax: 803-396-5893 | |
Lakeshore Dental Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Gold Hill Road, Fort Mill, SC 29708 Phone: 803-396-0000 Fax: 803-396-0001 | |
Fort Mill Periodontics & Implant Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 929 Market St, Fort Mill, SC 29708 Phone: 803-547-0304 Fax: 704-366-2639 |