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CAROLINA ORAL & FACIAL SURGERY
NPI 1528470804
Dentist - Oral and Maxillofacial Surgery in Brevard, NC

Active since May 21, 2014CLIA 42D1095178 · Waiver
4 MARKET ST, SUITE 4204, BREVARD, NC 28712(828) 862-8648(864) 458-9860 Get Directions Write a Review

NPPES record last updated: May 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carolina Oral & Facial Surgery NPPES

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

CAROLINA ORAL & FACIAL SURGERY (NPI 1528470804) is a healthcare organization registered as an oral and maxillofacial surgery in Brevard, North Carolina and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through February 3, 2027 and lists Bart David Williams, Chairman, as its authorized official.

NPPES Registry Identity

NPI1528470804
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCAROLINA ORAL & FACIAL SURGERY
Location Address4 MARKET ST, SUITE 4204Brevard, NC 28712-5635
Mailing Address4 Market St, Suite 4204Brevard, NC 28712-5635 · (828) 862-8648 · Fax (864) 458-9860
Phone(828) 862-8648
Fax(864) 458-9860
Organization SubpartNo
Authorized OfficialBart David WilliamsChairman · (864) 458-9800
Enumeration DateMay 21, 2014
✔ NPI 1528470804 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 NC · 9801804
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.
4 MARKET ST, Brevard, NC 28712
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINF605050281SC
Medicare UPIN2340407NC

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D1095178

Carolina Oral & Facial Surgery · Greenville, SC
Active · expires Feb 3, 2027
CLIA Number42D1095178
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorSuszanne Williams
Laboratory Phone(864) 458-9800
Laboratory LocationCarolina Oral & Facial Surgery39 Brendan Way, Greenville, SC 29615
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

GARRETT GUNNELL DDS
Dentist
4 MARKET ST, SUITE 4202
BREVARD, NC 28712
Transylvania County (828) 884-3702
CHRISTINA ELLIOTT
Physical Therapy Assistant
4 MARKET ST
BREVARD, NC 28712
Transylvania County (828) 877-2110
DR. JOSEPH LAWRENCE COWART DMD
Dentist (General Practice)
4 MARKET ST, SUITE 4202
BREVARD, NC 28712
Transylvania County (828) 884-3702
ELEVATE PHYSICAL THERAPY & PAIN CENTER INC
Physical Therapist
4 MARKET ST, SUITE 4103
BREVARD, NC 28712
Transylvania County (828) 877-2110
EMILY WARD BRYSON PTA
Physical Therapy Assistant
4 MARKET ST, SUITE 4103
BREVARD, NC 28712
Transylvania County (828) 877-2110
MR. KEVIN O MCALISTER DPT,OCS
Physical Therapist
4 MARKET ST, SUITE 4103
BREVARD, NC 28712
Transylvania County (828) 877-2110
MR. MARK H BLAKELY DPT,OCS
Physical Therapist
4 MARKET ST, SUITE 4103
BREVARD, NC 28712
Transylvania County (828) 877-2110

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 & Facial Surgery's NPI number?

The NPI number for Carolina Oral & Facial Surgery is 1528470804. It was assigned to this organization in the NPPES registry on May 21, 2014.

Where is Carolina Oral & Facial Surgery located?

Carolina Oral & Facial Surgery is located at 4 Market St Suite 4204, Brevard, NC 28712. The listed phone number is (828) 862-8648.

What is Carolina Oral & Facial Surgery's specialty?

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

Does Carolina Oral & Facial Surgery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1095178) is associated with this NPI, valid through February 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carolina Oral & Facial Surgery was last updated on May 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.