Individual provider · Type 1 NPI
John Omalley, DMD
Oral and Maxillofacial Surgery (Dentist) · Charlotte, NC
NPI number
1659543155
Active
Practice location
2007 Randolph Rd
Charlotte, NC 28207-1233
Mailing address
1928 Trillium Ln
Charlotte, NC 28211-4445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 3852 (NC) |
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 1659543155
John Omalley, DMD's National Provider Identifier is 1659543155, issued on Mar 25, 2008. 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 Mar 25, 2008.