| Carolina Surgical Arts Pa | |
|
2516 Oakcrest Ave Suite B Greensboro NC 27408-1932 | |
| (336) 288-0677 | |
| (336) 288-0784 |
| Full Name | Carolina Surgical Arts Pa |
|---|---|
| Speciality | Dentist |
| Location | 2516 Oakcrest Ave, Greensboro, North Carolina |
| Authorized Official Name and Position | Todd Gene Owsley (PRESIDENT) |
| Authorized Official Contact | 3362880677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Surgical Arts Pa 2516 Oakcrest Ave Suite B Greensboro NC 27408-1932 Ph: (336) 288-0677 | Carolina Surgical Arts Pa 2516 Oakcrest Ave Suite B Greensboro NC 27408-1932 Ph: (336) 288-0677 |
| NPI Number | 1508997883 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 01/26/2010 |
| Medicare PECOS PAC ID | 8426206749 |
|---|---|
| Medicare Enrollment ID | O20120912000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508997883 | NPI | - | NPPES |
| 0180T | Other | NC | BLUE CROSS BLUE SHIELD |
| 59-13002 | Other | NC | NC MEDICAID DENTAL |
| 89-0180T | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 34801 (North Carolina) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | 34801 (North Carolina) | Secondary |
| Provider Name | Todd Gene Owsley |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1699899823 PECOS PAC ID: 9335397652 Enrollment ID: I20120912000026 |
Lajean Morrow Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2512 Oakcrest Ave Ste B, Greensboro, NC 27408 Phone: 336-282-9222 | |
Roberts Hoina & Associates Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Nicholas Rd Ste F, Greensboro, NC 27409 Phone: 336-387-5058 | |
Walter G Howell, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2721 Horse Pen Creek Road, Suite 101, Greensboro, NC 27410 Phone: 336-323-2822 Fax: 336-323-2876 | |
Mark J Katz, Dds, Msd, Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 2018 New Garden Rd Ste A, Greensboro, NC 27410 Phone: 336-286-5800 Fax: 336-286-5801 | |
Buck Linthicum D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 Dolley Madison Rd, Greensboro, NC 27410 Phone: 336-854-2990 Fax: 336-856-0776 | |
Carolina Dentistry And Dentures Greensboro Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3711 Elmsley Ct., Suite 106, Greensboro, NC 27406 Phone: 704-732-2629 | |
S Harding Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 N Benbow Rd, Greensboro, NC 27411 Phone: 949-305-2253 |