| Carolinas Center For Oral & Facial Surgery | |
|
104 Montgomery Dr Anderson SC 29621-3334 | |
| (704) 295-4653 | |
| Not Available |
| Full Name | Carolinas Center For Oral & Facial Surgery |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 104 Montgomery Dr, Anderson, South Carolina |
| Authorized Official Name and Position | Jennifer Rayle Hock (DIRECTOR OF CONTRACTING & CREDENTIA) |
| Authorized Official Contact | 7042954653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolinas Center For Oral & Facial Surgery 5550 77 Center Dr Ste 320 Charlotte NC 28217-0739 Ph: (704) 295-4653 | Carolinas Center For Oral & Facial Surgery 104 Montgomery Dr Anderson SC 29621-3334 Ph: (704) 295-4653 |
| NPI Number | 1649977224 |
|---|---|
| Provider Enumeration Date | 02/14/2023 |
| Last Update Date | 02/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649977224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Primary |
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