Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROVIDENCE ORAL SURGERY AND DENTAL IMPLANT CENTER
Active OrganizationPROVIDENCE ORAL SURGERY AND DENTAL IMPLANT CENTER is a Oral & Maxillofacial Surgery organization located in WAXHAW, North Carolina. NPI 1912468463 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · WAXHAW, NC
Registration Details
- NPI Number
- 1912468463
- Provider Type
- Organization
- NPI Issued
- Mar 27, 2019 (7.2011839544874 yrs)
- Last Updated
- Oct 26, 2021
Practice Information
- Address
-
102 WAXHAW PROFESSIONAL PARK DR STE GWAXHAW, NC, 281735024Browse NC providers · Browse ZIP 28173
- Phone
- 7325479101
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.