OrganizationActive
Greater Charlotte Oral & Facial Surgery
NPI 1124595475 · Oral and Maxillofacial Surgery (Dentist) · Gastonia, NC
Provider details
- NPI number
- 1124595475
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Jennifer Hall, Billing Supervisor(704) 542-9600
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
527 S New Hope Rd
Gastonia, NC 28054-4040
Phone: (704) 542-9600
Fax: (704) 215-6904
Street-level locationGet directions
Mailing address
10042 Park Cedar Dr Ste B
Charlotte, NC 28210-8917
Other names (DBA / former)
- Doing business as
- Greater Charlotte Oral & Facial Surgery
Registry dates
- Enumerated
- 2018-10-25
- Last updated
- 2018-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.