Carolina Oral & Maxillofacial Surgery

NPI 1093848368 - Dentist - 1223S0112X

NPI Details
NPI 1093848368
Enumeration Date 03/14/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNETH MARTIN KENNETH
Position ORAL SURGEON
Phone (803) 548-9910
Fax (803) 548-9915
Practice Location
105 BEN CASEY DR
SUITE 115
FORT MILL SC, 29708-8561, US
Phone (803) 548-9910
Fax (803) 548-9915
Business Location
105 BEN CASEY DR
SUITE 115
FORT MILL SC, 29708-8561, US
Phone (803) 548-9910
Fax (803) 548-9915
Toxanomy
Taxonomy Code 1223S0112X
License State South Carolina
License Number 3553611
Remove 1093848368 NPI Number
 

According to our database, Carolina Oral & Maxillofacial Surgery NPI is 1093848368, taxonomy code is 1223S0112X and license number is 3553611, license state is located at South Carolina. Carolina Oral & Maxillofacial Surgery physically located at 105 Ben Casey Dr, Fort Mill SC, 29708-8561. NPI Number 1033115704 has the healthcare provider type.

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1093848368 NPI number is provided on an as is basis without warranty of any kind. 1093848368 is maintained by the National Plan & Provider Enumeration System. The contents of Carolina Oral & Maxillofacial Surgery are for informational purposes only.