Organization
GREATER CHARLOTTE ORAL & FACIAL SURGERY
Active
Other names
Greater Charlotte Oral & Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HALL (BILLING SUPERVISOR)
(704) 542-9600
Entity
Organization
Contact information
Practice address
527 S NEW HOPE RD, GASTONIA, NC 28054-4040
(704) 542-9600
(704) 215-6904
Mailing address
10042 PARK CEDAR DR STE B, CHARLOTTE, NC 28210-8917
(704) 542-9600
(704) 542-9651
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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