Gaston Oral & Maxillofacial Surgery

LBN: Gaston Oral & Maxillofacial Surgery
Gaston Oral & Maxillofacial Surgery is an health care organization with primary practice located at Gaston Oral & Maxillofacial Surgery 571 Cox Road, Gastonia NC 28054-0632. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is the primary health care specialty. Gaston Oral & Maxillofacial Surgery can be contacted via phone (704) 865-7603, or through Jamison, Philip Ledford via phone (704) 865-7603.

Contact Information

Primary practice address
Gaston Oral & Maxillofacial Surgery 571 Cox Road Gastonia NC 28054-0632
Phone: (704) 865-7603
Fax: (704) 865-6411
Website:
Map and Directions
Authorized official contact:
Name: Jamison, Philip Ledford DDS, PA
Phone: (704) 865-7603

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X

Profile Details

NPI number 1538279757
LBN Legal business name Gaston Oral & Maxillofacial Surgery
DBA Doing business as Gaston Oral & Maxillofacial Surgery
Authorized official Jamison, Philip Ledford DDS, PA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Feb 13th, 2019 - about 5 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 1538279757 NPPES
North Carolina Other 90868 BCBS PROVIDER NUMBER
North Carolina Other 94489 BCBS PROVIDER NUMBER
North Carolina MEDICAID 8990868 BCBS PROVIDER NUMBER
North Carolina MEDICAID 8994489 BCBS PROVIDER NUMBER

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