Carolina Oral & Maxillofacial Surgery
LBN: Carolina Oral & Maxillofacial Surgery
Carolina Oral & Maxillofacial Surgery is an health care organization with primary practice located at 105 Ben Casey Dr Suite 115, Fort Mill SC 29708-8561. 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 & Maxillofacial Surgery can be contacted via phone (803) 548-9910, or through Burtner, Kenneth Martin via phone (803) 548-9910.
Contact Information
Primary practice address
105 Ben Casey Dr Suite 115
Fort Mill SC 29708-8561
Phone: (803) 548-9910
Fax: (803) 548-9915
Website:
Authorized official contact:
Name: Burtner, Kenneth Martin Doctor of Dental Medicine (DMD)
Phone: (803) 548-9910
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 3553611 | South Carolina |
Profile Details
| NPI number | 1093848368 |
|---|---|
| LBN Legal business name | Carolina Oral & Maxillofacial Surgery |
| DBA Doing business as | |
| Authorized official | Burtner, Kenneth Martin Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093848368 | NPPES |
| North Carolina | MEDICAID | 5903373 | |
| North Carolina | MEDICAID | ZX3553 | |
| North Carolina | MEDICAID | ZA9491 |
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