| Providence Oral Surgery And Dental Implant Center | |
|
102 Waxhaw Professional Park Dr Ste G Waxhaw NC 28173-5024 | |
| (732) 547-9101 | |
| Not Available |
| Full Name | Providence Oral Surgery And Dental Implant Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 102 Waxhaw Professional Park Dr Ste G, Waxhaw, North Carolina |
| Authorized Official Name and Position | James Parelli (ORAL SURGEON/OWNER) |
| Authorized Official Contact | 7042898819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Oral Surgery And Dental Implant Center 102 Waxhaw Professional Park Dr Ste G Waxhaw NC 28173-5024 Ph: (704) 289-8819 | Providence Oral Surgery And Dental Implant Center 102 Waxhaw Professional Park Dr Ste G Waxhaw NC 28173-5024 Ph: (732) 547-9101 |
| NPI Number | 1912468463 |
|---|---|
| Provider Enumeration Date | 03/27/2019 |
| Last Update Date | 10/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912468463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
G. Abrams And R. Cohen Xx, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1619 Providence Rd S, Waxhaw, NC 28173 Phone: 704-246-8971 | |
Naina Mahale Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8418 New Town Rd, Waxhaw, NC 28173 Phone: 704-843-2880 | |
Ganglani Waxhaw Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2514 Cuthbertson Rd Ste A, Waxhaw, NC 28173 Phone: 704-243-1122 | |
New Town Dentistry Dental Clinic Medicare: Medicare Enrolled Practice Location: 1532 Providence Rd S Ste 220, Waxhaw, NC 28173 Phone: 704-373-6040 Fax: 704-373-6041 | |
Young & Polite Children's Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2514 Cuthbertson Rd, Suite B, Waxhaw, NC 28173 Phone: 704-243-5898 Fax: 704-843-4516 | |
Ganglani Reafield Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9925 Rea Rd Ste 104, Waxhaw, NC 28173 Phone: 980-500-3999 | |
Bevin K Malle Dds Pa Ii Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9817 Suzanne Ct., Suite B, Waxhaw, NC 28173 Phone: 980-339-8730 Fax: 704-790-0593 |