Organization Active NPI

Carolina Oral & Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Brevard, NC
National Provider Identifier
1528470804
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
9801804 Issued in NC
Legal business name
CAROLINA ORAL & FACIAL SURGERY
Practice address
4 Market St
Suite 4204
Brevard, NC 28712-5635
Phone
(828) 862-8648
Fax
(864) 458-9860
NPI assigned
May 21, 2014
Last updated
May 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bart David Williams III, MD, DMDNPI 1962401422
Title
Chairman
Phone
(864) 458-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 9801804 NC Primary

Addresses

Primary practice location

4 Market St
Suite 4204
Brevard, NC 28712-5635

Mailing address

4 Market St
Suite 4204
Brevard, NC 28712-5635
Phone (828) 862-8648

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1528470804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MARKET ST",
            "address_2": "SUITE 4204",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287125635",
            "telephone_number": "828-862-8648",
            "fax_number": "864-458-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MARKET ST",
            "address_2": "SUITE 4204",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287125635",
            "telephone_number": "828-862-8648",
            "fax_number": "864-458-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ORAL & FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "864-458-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD, DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "9801804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brevard, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.