ADVANCED FACIAL SURGERY AND ANESTHESIA PLLC – NPI #1083214365
Oral & Maxillofacial Surgery

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 is an oral & maxillofacial surgeon located in INDIAN TRAIL, NC. NPPES has assigned the NPI number 1083214365 to ADVANCED FACIAL SURGERY AND ANESTHESIA PLLC on October 27, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

The NPI profile was last updated on Mar 28, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED FACIAL SURGERY AND ANESTHESIA PLLC below.

NPI Profile for
ADVANCED FACIAL SURGERY AND ANESTHESIA PLLC

NPI Number
1083214365
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED FACIAL SURGERY AND ANESTHESIA PLLC
Primary location
301 INDIAN TRAIL RD S
INDIAN TRAIL, NC 28079-9101
Phone: (704) 839-0535 Fax:
1 Other location(s):
5427 Highway 49 S
Suite 104
Harrisburg, NC 28075
Phone: (704) 839-0535
Fax: (704) 839-0549
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DIN LAM
OWNER
Phone: (646) 584-8007
Updated
Certification Date
Mar 28, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADVANCED FACIAL SURGERY AND ANESTHESIA PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC1164979589
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204E00000X
- Oral & Maxillofacial Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.