Iredell Oral & Facial Surgery Pc in Mooresville - Oral And Maxillofacial Surgery
Iredell Oral & Facial Surgery Pc - NPI 1639353659
Iredell Oral & Facial Surgery Pc is a Oral And Maxillofacial Surgery in Mooresville, North Carolina. Iredell Oral & Facial Surgery Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Iredell Oral & Facial Surgery Pc is 1639353659. The last update date is 2014-08-29.
Iredell Oral & Facial Surgery Pc's current location address is 229 Medical Park Rd, Mooresville, North Carolina. You can contact this provider via phone number 7047990771 and fax number 7047992941. The mailing address for Iredell Oral & Facial Surgery Pc is 229 Medical Park Rd, Mooresville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Iredell Oral & Facial Surgery Pc |
|---|---|
| Address | 229 Medical Park Rd, Mooresville, North Carolina |
| Phone Number | 7047990771 |
| Fax Number | 7047992941 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Mccarter Kelly |
| Telephone Number | 7047990771 |
NPI Number Detail
| NPI Number | 1639353659 |
|---|---|
| Provider Enumeration Date | 2007-12-27 |
| Last Updated Date | 2014-08-29 |
Provider Mailing Address Detail
| Address | 229 Medical Park Rd |
|---|---|
| City | Mooresville |
| State | North Carolina (NC) |
| Post Code | 281178543 |
| Phone Number | 7047990771 |
| Fax Number | 7047992941 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 261Qs0112X |
| Licence No | 9900556 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 891218U | NC | -- | |
| 1218U | NC | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Iredell Oral & Facial Surgery Pc by the Centers for Medicare & Medicaid Services?
The Iredell Oral & Facial Surgery Pc has been assigned the NPI (National Provider Identifier) 1639353659 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Iredell Oral & Facial Surgery Pc?
The Iredell Oral & Facial Surgery Pc is situated at 229 Medical Park Rd, in the city of Mooresville, state of NC, with the zip code 281178543.
What is Iredell Oral & Facial Surgery Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Iredell Oral & Facial Surgery Pc is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 261Qs0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639353659 to Iredell Oral & Facial Surgery Pc?
The Centers for Medicare & Medicaid Services originally issued the 1639353659 to Iredell Oral & Facial Surgery Pc on 2007-12-27.
When was the information related to Iredell Oral & Facial Surgery Pc most recently updated or refreshed?
The details pertaining to the Iredell Oral & Facial Surgery Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-08-29.