Organization · Type 2 NPI
Providence Oral Surgery and Dental Implant Center
Oral and Maxillofacial Surgery (Dentist) · Waxhaw, NC
NPI number
1912468463
Active
Practice location
102 Waxhaw Professional Park Dr Ste G
Waxhaw, NC 28173-5024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X | 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
About NPI 1912468463
Providence Oral Surgery and Dental Implant Center's National Provider Identifier is 1912468463, issued on Mar 27, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Waxhaw, NC. The record was last updated on Oct 26, 2021.