Organization
GASTON ORAL & MAXILLOFACIAL SURGERY
Active
Other names
Gaston Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP LEDFORD JAMISON DDS, PA (DIRECT OWNER)
(704) 865-7603
Entity
Organization
Contact information
Practice address
GASTON ORAL & MAXILLOFACIAL SURGERY, 571 COX ROAD, GASTONIA, NC 28054-0632
(704) 865-7603
(704) 865-6411
Mailing address
GASTON ORAL & MAXILLOFACIAL SURGERY, 571 COX ROAD, GASTONIA, NC 28054-0632
(704) 865-7603
(704) 865-6411
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990868
—
NC
05
—
8994489
—
NC
01
—
90868
BCBS PROVIDER NUMBER
NC
01
—
94489
BCBS PROVIDER NUMBER
NC
Enumeration date
08/30/2006
Last updated
02/13/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us