| Outer Banks Oral Surgery And Implant Center | |
|
5107 N Croatan Hwy Suite 201 Kitty Hawk NC 27949-3989 | |
| (252) 261-1313 | |
| (252) 261-1335 |
| Full Name | Outer Banks Oral Surgery And Implant Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5107 N Croatan Hwy, Kitty Hawk, North Carolina |
| Authorized Official Name and Position | Michael Richard Zaritsky (OWNER) |
| Authorized Official Contact | 9196994648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outer Banks Oral Surgery And Implant Center Po Box 512 Kitty Hawk NC 27949-0512 Ph: (252) 261-1313 | Outer Banks Oral Surgery And Implant Center 5107 N Croatan Hwy Suite 201 Kitty Hawk NC 27949-3989 Ph: (252) 261-1313 |
| NPI Number | 1790048668 |
|---|---|
| Provider Enumeration Date | 06/16/2012 |
| Last Update Date | 06/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790048668 | NPI | - | NPPES |
| 5917735 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 9072 (North Carolina) | Primary |
Atlantic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3704b N Croatan Hwy, Kitty Hawk, NC 27949 Phone: 252-261-7700 Fax: 252-261-1770 |