John P Omalley Dmd Pa in Charlotte - Oral And Maxillofacial Surgery

John P Omalley Dmd Pa - NPI 1558426874

John P Omalley Dmd Pa is a Oral And Maxillofacial Surgery in Charlotte, North Carolina. John P Omalley Dmd Pa practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for John P Omalley Dmd Pa is 1558426874. The last update date is 2008-03-04.

John P Omalley Dmd Pa's current location address is 2007 Randolph Road, Charlotte, North Carolina. You can contact this provider via phone number 7043741221 and fax number 7043440834. The mailing address for John P Omalley Dmd Pa is 2007 Randolph Road, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization John P Omalley Dmd Pa
Address 2007 Randolph Road, Charlotte, North Carolina
Phone Number 7043741221
Fax Number 7043440834
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Omalley Patrick John
Telephone Number 7043741221

NPI Number Detail

NPI Number 1558426874
Provider Enumeration Date 2006-12-27
Last Updated Date 2008-03-04

Provider Mailing Address Detail

Address 2007 Randolph Road
City Charlotte
State North Carolina (NC)
Post Code 28207
Phone Number 7043741221
Fax Number 7043440834

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 3852
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
96521 BCBS

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FAQs about John P Omalley Dmd Pa

What is the unique 10-digit identifier code assigned to John P Omalley Dmd Pa by the Centers for Medicare & Medicaid Services?

The John P Omalley Dmd Pa has been issued the NPI (National Provider Identifier) 1558426874 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where John P Omalley Dmd Pa is physically located?

The John P Omalley Dmd Pa is situated at the following address: 2007 Randolph Road, Charlotte, NC 28207.

What is John P Omalley Dmd Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John P Omalley Dmd Pa's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.

On what date did the Centers for Medicare & Medicaid Services assign the 1558426874 to John P Omalley Dmd Pa?

The Centers for Medicare & Medicaid Services assigned the 1558426874 to John P Omalley Dmd Pa on 2006-12-27.

When was the information regarding John P Omalley Dmd Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to John P Omalley Dmd Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-04.

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