| Semmel Oral & Facial Surgery | |
|
1422 Commonwealth Drive Wilmington NC 28403-0302 | |
| (910) 509-1422 | |
| (910) 509-1421 |
| Full Name | Semmel Oral & Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1422 Commonwealth Drive, Wilmington, North Carolina |
| Authorized Official Name and Position | Brady James Semmel (PRESIDENT) |
| Authorized Official Contact | 9105091422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Semmel Oral & Facial Surgery 1422 Commonwealth Drive Wilmington NC 28403-0302 Ph: (910) 509-1422 | Semmel Oral & Facial Surgery 1422 Commonwealth Drive Wilmington NC 28403-0302 Ph: (910) 509-1422 |
| NPI Number | 1437321296 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 08/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437321296 | NPI | - | NPPES |
| 131F4 | Other | NC | BCBS |
| 1406457 | Other | NC | UCCI |
| 89902FT | Medicaid | NC | |
| 10390209 | Other | NC | VOCATIONAL REHABILITATION |
| 89131F4 | Medicaid | NC | |
| 145236 | Other | NC | GUARDIAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 200101495 (North Carolina) | Primary |
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