CAROLINAS CENTER FOR ORAL & FACIAL SURGERY
NPI 1649977224
Oral & Maxillofacial Surgery in Anderson, SC
- Organization
- Oral & Maxillofacial Surgery
- CLIA Number: 42D2321668
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 04-07-2027
About CAROLINAS CENTER FOR ORAL & FACIAL SURGERY
This page provides the complete NPI Profile along with additional information for Carolinas Center For Oral & Facial Surgery, a provider established in Anderson, South Carolina operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1649977224 assigned on February 2023. The practitioner's primary taxonomy code is 204E00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Carolinas Center For Oral & Facial Surgery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Carolinas Center For Oral & Facial Surgery. The authorized official of this NPI record is Jennifer Rayle Hock (Director Of Contracting & Credentia)
- NPI
- 1649977224 Verify this NPI
- Provider Legal Name
- DRS FARRELL FARRELL NALE COOK KAPITAN MOHAMED FRANCO WESSEL HOWELL & K
- Other Organization Name
- CAROLINAS CENTER FOR ORAL & FACIAL SURGERY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 104 MONTGOMERY DR ANDERSON, SC 29621
- Location Phone
- (704) 295-4653
- Mailing Address
- 5550 77 CENTER DR STE 320 CHARLOTTE, NC 28217
- Mailing Phone
- (704) 295-4653
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-14-2023
- Last Update Date
- 02-16-2023
- Code Navigator
Location Map
Secondary Locations
- 280 Rocky Slope Rd
Greenville, SC 29607
(864) 751-9972
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223S0112X | Dental Providers | Dentist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D2321668
- Facility Type
- Practitioner Other
- Certificate Effective Date
- April 08, 2025
- Certificate Expiration Date
- April 07, 2027
- Laboratory Director
- WILLIAM S. DUNLAP
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Carolinas Center For Oral & Facial Surgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649977224, enumerated as an "organization" on February 14, 2023.
The provider is located at 104 MONTGOMERY DR ANDERSON, SC 29621 and the phone number is (704) 295-4653.
Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
