# CAROLINA ORAL & FACIAL SURGERY

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

## Provider details

- **NPI number:** 1528470804
- **Authorized official:** DR. BART DAVID WILLIAMS III MD, DMD (CHAIRMAN)
- **Authorized official phone:** (864) 458-9800

## Contact information

- **Practice address:** 4 MARKET ST, SUITE 4204, BREVARD, NC 28712-5635
- **Practice address phone:** (828) 862-8648
- **Practice address fax:** (864) 458-9860
- **Mailing address:** 4 MARKET ST, SUITE 4204, BREVARD, NC 28712-5635
- **Mailing address phone:** (828) 862-8648
- **Mailing address fax:** (864) 458-9860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 9801804 | NC | Yes |

## Other

- **Enumeration date:** 05/21/2014
- **Last updated:** 05/21/2014
