# CAROLINA CTR FOR ORAL & MAXILLOFACIAL SURGERY

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

## Provider details

- **NPI number:** 1144358623
- **Authorized official:** DR. HARRY CLINTON BELK JR. DMD (PRESIDENT)
- **Authorized official phone:** (864) 574-2011

## Contact information

- **Practice address:** 115 POWELL MILL RD, SPARTANBURG, SC 29302-1531
- **Practice address phone:** (864) 574-2011
- **Practice address fax:** (864) 576-7377
- **Mailing address:** 115 POWELL MILL RD, SPARTANBURG, SC 29302-1531
- **Mailing address phone:** (864) 574-2011
- **Mailing address fax:** (864) 576-7377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 1723 | SC | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 08/23/2013