Organization
FD BILLING LLC
Active
Other names
Waverly Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF COHEN (COO)
(704) 246-8971
Entity
Organization
Contact information
Practice address
11840 SOUTHMORE DR STE 150, CHARLOTTE, NC 28277-0785
(704) 246-6051
Mailing address
11840 SOUTHMORE DR STE 150, CHARLOTTE, NC 28277-0785
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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