MEDICARE: CAROLINA ORAL & FACIAL SURGERY, P.A.

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639232184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINA ORAL & FACIAL SURGERY, P.A.

Provider Business Mailing Address
First Line	:	39 BRENDAN WAY
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-3514
Country	:	US
Telephone Number	:	864-458-9800
Fax Number	:	864-458-9860

Provider Business Practice Location Address
First Line	:	39 BRENDAN WAY
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-3514
Country	:	US
Telephone Number	:	864-458-9800
Fax Number	:	864-458-9860

Authorized Official
Title or Position	:	CEO
Name	:	DR. BART DAVID WILLIAMS III
Credential	:	MD, DMD
Telephone Number	:	864-458-9800

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	02/24/2012

Similar Medicare Providers

1134873805 — FIREFLY THERAPY CLINIC LLC
Practice Location Address:

35 BRENDAN WAY
GREENVILLE, SC
29615-3514

Practice Phone: 864-775-6685
Practice Fax: 864-551-4440

1104426907 — FIREFLY THERAPY CLINIC LLC
Practice Location Address:

35 BRENDAN WAY
GREENVILLE, SC
29615-3514

Practice Phone: 405-205-2098
Practice Fax:

1962401422 — DR. BART DAVID WILLIAMS III MD, DMD
Practice Location Address:

39 BRENDAN WAY
GREENVILLE, SC
29615-3514

Practice Phone: 864-458-9800
Practice Fax: 864-458-9860

1467482026 — DR. WILLIAM JEFFREY KRAMER DC, PHD, ATC, CHES
Practice Location Address:

7C BRENDAN WAY
GREENVILLE, SC
29615-3514

Practice Phone: 864-288-2459
Practice Fax:

1093805152 — KEVIN BURTON WALKER M.D.
Practice Location Address:

21 BRENDAN WAY
GREENVILLE, SC
29615-3514

Practice Phone: 864-522-5030
Practice Fax: 864-522-5035

1720102809 — GREENVILLE-PEDIATRICS PA
Practice Location Address:

37 BRENDAN WAY
GREENVILLE, SC
29615-3514

Practice Phone: 864-458-7792
Practice Fax:

Directions to “CAROLINA ORAL & FACIAL SURGERY, P.A. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.