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CAROLINA ORAL & MAXILLOFACIAL SURGERY
NPI 1093848368
Dentist - Oral and Maxillofacial Surgery in Fort Mill, SC

Active since March 14, 2007
105 BEN CASEY DR, SUITE 115, FORT MILL, SC 29708(803) 548-9910(803) 548-9915 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carolina Oral & Maxillofacial Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINA ORAL & MAXILLOFACIAL SURGERY (NPI 1093848368) is a healthcare organization registered as an oral and maxillofacial surgery in Fort Mill, South Carolina and active in the NPI registry since March 2007. The organization lists Kenneth Martin Burtner, Oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1093848368
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCAROLINA ORAL & MAXILLOFACIAL SURGERY
Location Address105 BEN CASEY DR, SUITE 115Fort Mill, SC 29708-8561
Mailing Address105 Ben Casey Dr, Suite 115Fort Mill, SC 29708-8561 · (803) 548-9910 · Fax (803) 548-9915
Phone(803) 548-9910
Fax(803) 548-9915
Organization SubpartNo
Authorized OfficialKenneth Martin BurtnerOral Surgeon · (803) 548-9910
Enumeration DateMarch 14, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093848368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in SC · 3553611
Definition

An oral and maxillofacial surgery dentist specialized in 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.

105 BEN CASEY DR, Fort Mill, SC 29708
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Other Identifiers 3

MedicaidZX3553SC
Medicaid5903373NC
MedicaidZA9491SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PALMETTO PODIATRY GROUP OF ANDERSON, PA
Non-Pharmacy Dispensing Site
105 BEN CASEY DR
FORT MILL, SC 29708
York County (803) 396-8670
BIEHL AND WELCH COSMETIC AND FAMILY DENTISTRY
Dentist
105 BEN CASEY DR, SUITE 139
FORT MILL, SC 29708
York County (803) 547-5002
KIM HARNETT PT
Physical Therapist
105 BEN CASEY DR, SUITE 127
FORT MILL, SC 29708
York County (803) 802-5855
PALMETTO PODIATRY GROUP OF ANDERSON, PA
Podiatrist
105 BEN CASEY DR, SUITE 133
FORT MILL, SC 29708
York County (803) 396-8670
PALMETTO REHABILITATION SPECIALISTS, LLC
Physical Therapist
105 BEN CASEY DR, SUITE 127
FORT MILL, SC 29708
York County (803) 802-5855
MAHMOUD KARIMIPOUR D.M.D.
Dentist (Endodontics)
105 BEN CASEY DR, SUITE # 121
FORT MILL, SC 29708
York County (803) 802-3681
DR. BRIAN LEE BIEHL DMD
Dentist (General Practice)
105 BEN CASEY DR, SUITE 139
FORT MILL, SC 29708
York County (803) 547-5002
KENNETH M. BURTNER DMD
Dentist (Oral and Maxillofacial Pathology)
105 BEN CASEY DR, SUITE 115
FORT MILL, SC 29708
York County (803) 548-9910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolina Oral & Maxillofacial Surgery's NPI number?

The NPI number for Carolina Oral & Maxillofacial Surgery is 1093848368. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Carolina Oral & Maxillofacial Surgery located?

Carolina Oral & Maxillofacial Surgery is located at 105 Ben Casey Dr Suite 115, Fort Mill, SC 29708. The listed phone number is (803) 548-9910.

What is Carolina Oral & Maxillofacial Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Carolina Oral & Maxillofacial Surgery was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.