OrganizationActive
Carolina Oms Associates, LLC
NPI 1104134899 · Oral and Maxillofacial Surgery (Dentist) · Leland, NC
Provider details
- NPI number
- 1104134899
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Kristin Hudson, Consultant(910) 793-9545
- License
- 8366 (NC)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1003 Olde Waterford Way Ste 1a
Leland, NC 28451-4168
Phone: (910) 793-9545
Fax: (910) 397-0366
Street-level locationGet directions
Mailing address
Po Box 15349
Wilmington, NC 28408-5349
Other names (DBA / former)
- Doing business as
- Surfside Implant & Oral Surgery Center
Registry dates
- Enumerated
- 2010-09-16
- Last updated
- 2010-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.