| Carolina Ctr For Oral & Maxillofacial Surgery | |
|
115 Powell Mill Rd Spartanburg SC 29302-1531 | |
| (864) 574-2011 | |
| (864) 576-7377 |
| Full Name | Carolina Ctr For Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 115 Powell Mill Rd, Spartanburg, South Carolina |
| Authorized Official Name and Position | Harry Clinton Belk (PRESIDENT) |
| Authorized Official Contact | 8645742011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Ctr For Oral & Maxillofacial Surgery 115 Powell Mill Rd Spartanburg SC 29302-1531 Ph: (864) 574-2011 | Carolina Ctr For Oral & Maxillofacial Surgery 115 Powell Mill Rd Spartanburg SC 29302-1531 Ph: (864) 574-2011 |
| NPI Number | 1144358623 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144358623 | NPI | - | NPPES |
| 890651E | Other | NC | NC MEDICAID |
| ZA9924 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 1723 (South Carolina) | Primary |
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Carolina Center For Oral And Maxillofacial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Powell Mill Rd, Spartanburg, SC 29301 Phone: 864-574-2011 Fax: 864-576-7377 | |
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