Providence Oral Surgery and Dental Implant Center
Providence Oral Surgery and Dental Implant Center is an Oral and Maxillofacial Surgery (Dentist) in Waxhaw, North Carolina. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
102 Waxhaw Professional Park Dr Ste GWaxhaw, NC 28173-5024
Phone: (732) 547-9101
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Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X |
|---|---|
| Oral and Maxillofacial Surgery Clinic/Center | Taxonomy 261QS0112X |
Record details
| NPI number | 1912468463 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Parelli — Oral Surgeon/Owner · (704) 289-8819 |
| NPI enumerated | March 27, 2019 |
| Last updated in NPPES | October 26, 2021 |
| Certification date | October 26, 2021 |
| Mailing address | 102 Waxhaw Professional Park Dr Ste G, Waxhaw, NC 28173-5024 |
Other providers in Waxhaw
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Dr. James Parelli, DMD, MD, MSED
102 Waxhaw Professional Park Dr Ste G, Waxhaw, NC 28173-5025 · (704) 289-8819