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Carolina Oms Associates, LLC

Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Leland, NC

NPI 1104134899 · NPPES record last updated Sep 16, 2010

Key facts

NPI
1104134899
Entity type
Organization (NPI type 2)
Primary specialty
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
License
8366 (NC)
Legal business name
CAROLINA OMS ASSOCIATES, LLC
Practice address
1003 Olde Waterford Way Ste 1a
Leland, NC 28451-4168
Phone
(910) 793-9545
Fax
(910) 397-0366
NPI assigned
Sep 16, 2010
Organization subpart
No

Authorized official

Name
Kristin E Hudson
Title
Consultant
Phone
(910) 793-9545

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1003 Olde Waterford Way
Ste 1A
Leland, NC 28451
Phone (910) 793-9545

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 122300000X 8366 NC
Oral and Maxillofacial Surgery (Dentist)
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 1223S0112X 8366 NC Yes

Addresses

Primary practice location

1003 Olde Waterford Way Ste 1a
Leland, NC 28451-4168

Mailing address

PO Box 15349
Wilmington, NC 28408-5349
Phone (910) 793-9545

Other names

  • SURFSIDE IMPLANT & ORAL SURGERY CENTER Doing business as

Other providers in Leland, NC

All providers in Leland, NC · Oral and Maxillofacial Surgery (Dentist) in North Carolina

Sources for this page

Verify at the official NPI Registry.