# ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PA

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

## Provider details

- **NPI number:** 1356349591
- **Authorized official:** BECKY COLEY (ADMINISTRATIVE SUPERVISOR)
- **Authorized official phone:** (919) 479-0707

## Contact information

- **Practice address:** 2823 N DUKE ST, DURHAM, NC 27704-2621
- **Practice address phone:** (919) 479-0707
- **Practice address fax:** (919) 479-5435
- **Mailing address:** 2823 N DUKE ST, DURHAM, NC 27704-2621
- **Mailing address phone:** (919) 479-0707
- **Mailing address fax:** (919) 479-5435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3213 | NC | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 4344 | NC | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 4783 | NC | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 5471 | NC | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 9600058 | NC | — |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 02/06/2018