Organization
CAROLINA ORAL & FACIAL SURGERY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BART DAVID WILLIAMS III MD, DMD (CEO)
(864) 458-9800
Entity
Organization
Contact information
Practice address
39 BRENDAN WAY, GREENVILLE, SC 29615-3514
(864) 458-9800
(864) 458-9860
Mailing address
39 BRENDAN WAY, GREENVILLE, SC 29615-3514
(864) 458-9800
(864) 458-9860
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9824
—
SC
Enumeration date
12/18/2006
Last updated
02/24/2012
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