Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Park Oral Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1003502519

South Park Oral Surgery is an Oral and Maxillofacial Surgery (Dentist) in Charlotte, North Carolina. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

2719 Coltsgate Rd
Charlotte, NC 28211-3502
Phone: (704) 366-8707
Fax: (704) 366-8717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1003502519
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Bond — Dentist/Owner · (704) 366-8707
Other names South Park Oral Surgery
NPI enumeratedApril 17, 2023
Last updated in NPPESApril 17, 2023
Certification dateApril 17, 2023
Mailing address2719 Coltsgate Rd, Charlotte, NC 28211-3502

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