Healthcare Provider Details

I. General information

NPI: 1255250163
Provider Name (Legal Business Name): CARSON HOLDING O'HARA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 N 4TH ST
WILMINGTON NC
28401-3450
US

IV. Provider business mailing address

116 MORGANFORD PL
CARY NC
27518-6481
US

V. Phone/Fax

Practice location:
  • Phone: 910-343-0270
  • Fax: 910-251-1540
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14893
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: