Organization
BRADY J. SEMMEL, DMD, MD, PA
Active
Other names
Semmel Oral & Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
BRADY JAMES SEMMEL DMD, MD (PRESIDENT)
(910) 509-1422
Entity
Organization
Contact information
Practice address
1422 COMMONWEALTH DRIVE, WILMINGTON, NC 28403-0302
(910) 509-1422
(910) 509-1421
Mailing address
1422 COMMONWEALTH DRIVE, WILMINGTON, NC 28403-0302
(910) 509-1422
(910) 509-1421
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
200101495
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10390209
VOCATIONAL REHABILITATION
NC
01
—
131F4
BCBS
NC
01
—
1406457
UCCI
NC
01
—
145236
GUARDIAN
NC
05
—
89131F4
—
NC
05
—
89902FT
—
NC
Enumeration date
04/01/2008
Last updated
08/05/2011
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