OrganizationActive
Carolina Oral & Maxillofacial Surgery
NPI 1093848368 · Oral and Maxillofacial Surgery (Dentist) · Fort Mill, SC
Provider details
- NPI number
- 1093848368
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Kenneth Burtner, Oral Surgeon(803) 548-9910
- License
- 3553611 (SC)
Specialties & taxonomies
Dental Providers
Practice location
105 Ben Casey Dr
Suite 115
Fort Mill, SC 29708-8561
Phone: (803) 548-9910
Fax: (803) 548-9915
Approximate (ZIP-level) locationGet directions
Mailing address
105 Ben Casey Dr
Fort Mill, SC 29708-8561
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.