# CAROLINA SURGICAL ARTS PA

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

## Provider details

- **NPI number:** 1508997883
- **Authorized official:** TODD GENE OWSLEY MD (PRESIDENT)
- **Authorized official phone:** (336) 288-0677

## Contact information

- **Practice address:** 2516 OAKCREST AVE, SUITE B, GREENSBORO, NC 27408-1932
- **Practice address phone:** (336) 288-0677
- **Practice address fax:** (336) 288-0784
- **Mailing address:** 2516 OAKCREST AVE, SUITE B, GREENSBORO, NC 27408-1932
- **Mailing address phone:** (336) 288-0677
- **Mailing address fax:** (336) 288-0784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 34801 | NC | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 34801 | NC | — |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 01/26/2010