South Park Oral Surgery
NPI 1003502519 · Oral and Maxillofacial Surgery (Dentist) · Charlotte, NC
South Park Oral Surgery is a Oral and Maxillofacial Surgery (Dentist) organization in Charlotte, NC (NPI 1003502519).
Provider details
- NPI number
- 1003502519
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Kevin Bond, Dentist/Owner(704) 366-8707
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- South Park Oral Surgery
Registry dates
- Enumerated
- 2023-04-17
- Last updated
- 2023-04-17
- Certified
- 2023-04-17
Frequently asked questions
- What is South Park Oral Surgery's NPI number?
- South Park Oral Surgery's National Provider Identifier (NPI) is 1003502519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Park Oral Surgery?
- South Park Oral Surgery is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is South Park Oral Surgery located?
- South Park Oral Surgery's practice location on file with NPPES is 2719 Coltsgate Rd, Charlotte, NC 28211-3502.
- What is South Park Oral Surgery's phone number?
- The practice phone number listed in the NPPES registry for South Park Oral Surgery is (704) 366-8707.
- Who is the authorized official for South Park Oral Surgery?
- The authorized official listed on South Park Oral Surgery's NPPES record is Kevin Bond, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Park Oral Surgery's NPI active?
- Yes — South Park Oral Surgery's NPI (1003502519) is active in the NPPES registry as of the last update on 2023-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.