OrganizationActive
Novant Health Medical Group Coastal Region, LLC
NPI 1902485600 · Oral & Maxillofacial Surgery (D.M.D.) · Wilmington, NC
Provider details
- NPI number
- 1902485600
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shala Davis, Rcs Manager(704) 303-7517
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2131 S 17th St
Wilmington, NC 28401-7407
Phone: (910) 662-9300
Fax: (910) 662-9301
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 936857
Atlanta, GA 31193-6857
Other names (DBA / former)
- Doing business as
- Nhrmc Physician Specialists - Maxillofacial Surgery
- Doing business as
- Novant Health Maxillofacial Surgery
Additional practice locations (3)
- 2000 Brabham AveJacksonville, NC 28546-0201Phone: (910) 667-7000Fax: (910) 662-9301
- 1725 New Hanover Medical Park DrWilmington, NC 28403-5345Phone: (910) 662-9300Fax: (910) 662-9301
- 2259 S 17th StWilmington, NC 28401-7542Phone: (910) 662-9300Fax: (910) 662-9301
Registry dates
- Enumerated
- 2021-04-08
- Last updated
- 2023-03-28
- Certified
- 2023-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.