Organization · Type 2 NPI

Carolina CTR for Oral & Maxillofacial Surgery

Oral and Maxillofacial Surgery (Dentist) · Spartanburg, SC

NPI number 1144358623 Active

Practice location

115 Powell Mill Rd
Spartanburg, SC 29302-1531

Fax (864) 576-7377

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X1723 (SC)

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.

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About NPI 1144358623

Carolina CTR for Oral & Maxillofacial Surgery's National Provider Identifier is 1144358623, issued on Feb 28, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Spartanburg, SC. The record was last updated on Aug 23, 2013.