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Organization

CAROLINAS CENTER FOR DENTAL IMPLANTS

Active
Other names
Envision Dental Implant Centers
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNIFER RAYLE HOCK (DIRECTOR OF CONTRACTING AND CREDENT)
(704) 295-4653
Entity
Organization

Contact information

Practice address
280 ROCKY SLOPE RD, GREENVILLE, SC 29607-3908
(864) 252-9464
(864) 482-7510
Mailing address
5550 77 CENTER DR STE 320, CHARLOTTE, NC 28217-0739
(704) 295-4653
(704) 295-4288

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
1223S0112X
Oral and Maxillofacial Surgery (Dentist)

Other

Enumeration date
05/09/2019
Last updated
07/06/2023
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