Indian Land Oral & Facial Surgery LLC
NPI #1942794789 in Fort Mill, South Carolina
Provider Information
- NPI Number
- 1942794789
- Entity Type
- Organization
- Organization Name
- Indian Land Oral & Facial Surgery LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Jun 15, 2018
- Last Updated
- Jun 15, 2018
Practice Location
- Address
- 9787 CHARLOTTE HWY
- City
- Fort Mill
- State
- South Carolina
- ZIP Code
- 29707-8103
- Phone
- (980) 939-1400
Authorized Official
- Name
- LESLEY COYNER
- Title
- CREDENTIALING
- Phone
- (304) 720-7819
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| DR. Riddhi Patel, DMD | |
| DR. Edgar Harold Peacock JR., D.D.S. | |
| DR. Bart David Williams III, MD, DMD | |
| DR. Courtney W Shelbourne, DMD |
Organizations
| Provider Name | |
|---|---|
| Carolina Oral & Maxillofacial Surgery |
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