Organization · Type 2 NPI
South Park Oral Surgery
Oral and Maxillofacial Surgery (Dentist) · Charlotte, NC
NPI number
1003502519
Active
Practice location
2719 Coltsgate Rd
Charlotte, NC 28211-3502
Fax (704) 366-8717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
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About NPI 1003502519
South Park Oral Surgery's National Provider Identifier is 1003502519, issued on Apr 17, 2023. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Charlotte, NC. The record was last updated on Apr 17, 2023.