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John P Omalley Dmd Pa
Oral and Maxillofacial Surgery (Dentist) in Charlotte, North Carolina
NPI 1558426874

John P Omalley Dmd Pa is a Oral and Maxillofacial Surgery (Dentist) based in Charlotte, NC and is specialized in Oral and Maxillofacial Surgery. John P Omalley Dmd Pa practices in Charlotte, NC. The NPI Number for John P Omalley Dmd Pa is 1558426874 and holds a License No. 3852 (North Carolina).

The current practice location address for John P Omalley Dmd Pa is 2007 Randolph Road, Charlotte, NC and can be reached out via phone at 704-374-1221 and via fax at 704-344-0834.

Location: 2007 Randolph Road, Charlotte, NC, 28207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558426874
Provider Name
John P Omalley Dmd Pa
Credential
Provider Entity Type
Organization
Address
2007 Randolph Road, Charlotte, NC, 28207
Phone Number
704-374-1221
Fax Number
704-344-0834
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
96521 01 BCBS
institution
Provider Business Practice Location Address Details
Address
2007 Randolph Road
City
Charlotte
State
North Carolina
Zip
28207
Phone Number
704-374-1221
Fax Number
704-344-0834
person
Provider Business Mailing Address Details
Address
2007 Randolph Road
City
Charlotte
State
North Carolina
Zip
28207
Phone Number
704-374-1221
Fax Number
704-344-0834
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
3852 (North Carolina)
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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