ADVANCED FACIAL SURGERY AND ANESTHESIA PLLC NPI 1083214365

NPI Information

  • NPI: 1083214365
  • Provider Name: ADVANCED FACIAL SURGERY AND ANESTHESIA PLLC
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Organization
  • :
  • Address: 301 INDIAN TRAIL RD S
    INDIAN TRAIL, NC
    ZIP 28079
  • Phone: (704) 839-0535

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NPI Details

ADVANCED FACIAL SURGERY AND ANESTHESIA PLLC is an oral maxillofacial surgery in Indian Trail, NC. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. ADVANCED FACIAL SURGERY AND ANESTHESIA PLLC NPI is 1083214365. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

301 INDIAN TRAIL RD S
INDIAN TRAIL, NC
ZIP 28079-101
Phone: (704) 839-0535

The provider's authorized official is Din Lam .
The authorized official title is Owner and has the following contact phone number (646) 584-8007.

The enumeration date for this NPI number is 10/27/2020 and was last updated on 3/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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