MEDICARE: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0212F	OTHER	NC	BCBS OF NC GROUP #

General Provider Information

NPI Number	:	1790866564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL

Provider Business Mailing Address
First Line	:	140 DENTAL CIR STE 115
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-5021
Country	:	US
Telephone Number	:	919-537-3944
Fax Number	:	919-537-3407

Provider Business Practice Location Address
First Line	:	140 DENTAL CIR STE 115
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-5021
Country	:	US
Telephone Number	:	919-537-3944
Fax Number	:	919-537-3407

Authorized Official
Title or Position	:	ASSOCIATE DEAN - FINANCE & ADMIN
Name	:	MATT O'NEAL
Credential	:
Telephone Number	:	919-918-1263

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	09/25/2025

Similar Medicare Providers

1023268430 — DR. TRISHUL VEERA ALLAREDDY B.D.S., M.S
Practice Location Address:

140 DENTAL CIR
CHAPEL HILL, NC
27599-5021

Practice Phone: 216-333-5197
Practice Fax:

1932569282 — DANIEL LAMMERS M.D.
Practice Location Address:

160 DENTAL CIR BLDG 229
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Practice Phone: 440-223-7525
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1629099171 — DR. ROBERT P. HOLLOWELL JR. DDS
Practice Location Address:

140 DENTAL CIRCLE , UNIVERSITY OF NORTH CAROLINA ADAMS SCHOOL OF DENTISTRY
CHAPEL HILL, NC
27599-5021

Practice Phone: 919-537-3866
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1235557034 — DR. MICHAEL PHILIP COWHERD MD
Practice Location Address:

160 DENTAL CIR # 7075
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Practice Fax:

1629423330 — JESSICA WILLIS GOAD M.D.
Practice Location Address:

160 DENTAL CIR
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27599-5021

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Practice Fax:

1134575913 — UNC SCHOOL OF MEDICINE AND HEALTH CARE SYSTEM
Practice Location Address:

160 DENTAL CIR , ROOM 4032 BURNETT-WOMACK BLDG., CB#7050
CHAPEL HILL, NC
27599-5021

Practice Phone: 919-966-4653
Practice Fax:

Directions to “UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL ” Practice Location

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