Provider Demographics
NPI:1689430142
Name:HARMONY ORAL AND FACIAL SURGERY LLC
Entity Type:Organization
Organization Name:HARMONY ORAL AND FACIAL SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:RIDDHI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:864-363-1879
Mailing Address - Street 1:14445 W S LEE CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-3709
Mailing Address - Country:US
Mailing Address - Phone:864-363-1879
Mailing Address - Fax:
Practice Address - Street 1:1180 STONECREST BLVD, UNIT 105
Practice Address - Street 2:
Practice Address - City:TEGA CAY
Practice Address - State:SC
Practice Address - Zip Code:29708-2970
Practice Address - Country:US
Practice Address - Phone:839-400-2244
Practice Address - Fax:839-400-2230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery