# ORTHOCARE ORAL SURGERY

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

## Provider details

- **NPI number:** 1376121129
- **Authorized official:** DR. FORD SAWYER COOPER DDS (OWNER)
- **Authorized official phone:** (704) 509-4999

## Contact information

- **Practice address:** 9320 CENTER LAKE DR STE 100, CHARLOTTE, NC 28216-0767
- **Practice address phone:** (704) 509-4999
- **Practice address fax:** (704) 509-4961
- **Mailing address:** 9320 CENTER LAKE DR STE 100, CHARLOTTE, NC 28216-0767
- **Mailing address phone:** (704) 509-4999
- **Mailing address fax:** (704) 509-4961

## Taxonomy

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

## Other

- **Enumeration date:** 04/01/2021
- **Last updated:** 04/01/2021