# CAROLINAS DENTIST ORAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043669583
- **Authorized official:** MISS SCOTT CREWS (COO)
- **Authorized official phone:** (330) 951-9153

## Contact information

- **Practice address:** 620 LILLINGTON HWY, SPRING LAKE, NC 28390-2269
- **Practice address phone:** (330) 951-9153
- **Mailing address:** 2301 ROBESON ST, SUITE 302, FAYETTEVILLE, NC 28305-5640
- **Mailing address phone:** (330) 951-9153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 9700 | NC | Yes |

## Other

- **Enumeration date:** 06/06/2016
- **Last updated:** 06/06/2016