| Gaston Oral & Maxillofacial Surgery | |
|
Gaston Oral & Maxillofacial Surgery 571 Cox Road Gastonia NC 28054-0632 | |
| (704) 865-7603 | |
| (704) 865-6411 |
| Full Name | Gaston Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | Gaston Oral & Maxillofacial Surgery, Gastonia, North Carolina |
| Authorized Official Name and Position | Philip Ledford Jamison (DIRECT OWNER) |
| Authorized Official Contact | 7048657603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaston Oral & Maxillofacial Surgery Gaston Oral & Maxillofacial Surgery 571 Cox Road Gastonia NC 28054-0632 Ph: (704) 865-7603 | Gaston Oral & Maxillofacial Surgery Gaston Oral & Maxillofacial Surgery 571 Cox Road Gastonia NC 28054-0632 Ph: (704) 865-7603 |
| NPI Number | 1538279757 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 02/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538279757 | NPI | - | NPPES |
| 90868 | Other | NC | BCBS PROVIDER NUMBER |
| 94489 | Other | NC | BCBS PROVIDER NUMBER |
| 8990868 | Medicaid | NC | |
| 8994489 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Primary |
Farid Hanachi Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1377a E Garrison Blvd, Gastonia, NC 28054 Phone: 704-865-9889 Fax: 704-864-2966 | |
Enhanced Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 414 S York St, Gastonia, NC 28052 Phone: 704-865-6856 Fax: 704-865-5543 | |
Hollis Lee Jones, Dds, P.a Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3860 W Franklin Blvd, Gastonia, NC 28052 Phone: 704-834-7981 | |
Alyssa M Wolff Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 Huntsman Ct, Gastonia, NC 28054 Phone: 704-853-3122 | |
Patrick Mcintyre, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 571 Cox Rd, Gastonia, NC 28054 Phone: 704-867-5702 Fax: 704-867-5704 | |
G Abrams & R Cohen Xxiv Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2930 E Franklin Blvd Ste 3, Gastonia, NC 28056 Phone: 704-550-3040 | |
Majestic Dentistry Of Gastonia Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Majestic Ct, Suite - C, Gastonia, NC 28054 Phone: 704-864-6721 Fax: 704-864-1175 |