Carolina Oral & Facial Surgery, P.A.

LBN: Carolina Oral & Facial Surgery, P.A.
Carolina Oral & Facial Surgery, P.A. is an health care organization with primary practice located at 39 Brendan Way , Greenville SC 29615-3514. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Carolina Oral & Facial Surgery, P.A. can be contacted via phone (864) 458-9800, or through Williams, Bart David via phone (864) 458-9800.

Contact Information

Primary practice address
39 Brendan Way Greenville SC 29615-3514
Fax: (864) 458-9860
Website:
Authorized official contact:
Name: Williams, Bart David MD, DMD

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1639232184
LBN Legal business name Carolina Oral & Facial Surgery, P.A.
DBA Doing business as
Authorized official Williams, Bart David MD, DMD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Feb 24th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639232184 NPPES
South Carolina MEDICAID ZA9824

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