institution
Providence Oral Surgery And Dental Implant Center
Oral and Maxillofacial Surgery Clinic/Center in Waxhaw, North Carolina
NPI 1912468463

Providence Oral Surgery And Dental Implant Center is a Oral and Maxillofacial Surgery Clinic/Center based in Waxhaw, NC and is specialized in Oral and Maxillofacial Surgery. Providence Oral Surgery And Dental Implant Center practices in Waxhaw, NC. The NPI Number for Providence Oral Surgery And Dental Implant Center is 1912468463 and holds a License No. (North Carolina).

The current practice location address for Providence Oral Surgery And Dental Implant Center is 102 Waxhaw Professional Park Dr Ste G, Waxhaw, NC and can be reached out via phone at 732-547-9101.

Location: 102 Waxhaw Professional Park Dr Ste G, Waxhaw, NC, 28173-5024
institution
Provider Profile Details
NPI Number
1912468463
Provider Name
Providence Oral Surgery And Dental Implant Center
Credential
Provider Entity Type
Organization
Address
102 Waxhaw Professional Park Dr Ste G, Waxhaw, NC, 28173-5024
Phone Number
732-547-9101
Fax Number
Provider Enumeration Date
03/27/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
102 Waxhaw Professional Park Dr Ste G
City
State
Zip
28173-5024
Phone Number
732-547-9101
Fax Number
person
Provider Business Mailing Address Details
Address
102 Waxhaw Professional Park Dr Ste G
City
State
Zip
28173-5024
Phone Number
732-547-9101
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
()
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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