OrganizationActive
Indian Land Oral & Facial Surgery LLC
NPI 1942794789 · Oral and Maxillofacial Surgery (Dentist) · Fort Mill, SC
Provider details
- NPI number
- 1942794789
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Lesley Coyner, Credentialing(304) 720-7819
Specialties & taxonomies
Dental Providers
Practice location
9787 Charlotte Hwy
Fort Mill, SC 29707-8103
Phone: (980) 939-1400
Approximate (ZIP-level) locationGet directions
Mailing address
9789 Charlotte Hwy Ste 400-207
Fort Mill, SC 29707-7177
Other names (DBA / former)
- Doing business as
- Greater Charlotte Oral & Facial Surgery
Registry dates
- Enumerated
- 2018-06-15
- Last updated
- 2018-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.