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 |
News Archive
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