Organization · Type 2 NPI

Indian Land Oral & Facial Surgery LLC

Oral and Maxillofacial Surgery (Dentist) · Fort Mill, SC

NPI number 1942794789 Active

Practice location

9787 Charlotte Hwy
Fort Mill, SC 29707-8103

Mailing address

9789 Charlotte Hwy Ste 400-207
Fort Mill, SC 29707-7177

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone 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.

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About NPI 1942794789

Indian Land Oral & Facial Surgery LLC's National Provider Identifier is 1942794789, issued on Jun 15, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Mill, SC. The record was last updated on Jun 15, 2018.