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Carolina Oral & Maxillofacial Surgery

Oral and Maxillofacial Surgery (Dentist) in Fort Mill, SC · enumerated 2007 · authorized official Kenneth Burtner, Oral Surgeon.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093848368

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Registry record

Entity type Organization (Type 2)
Legal business name Carolina Oral & Maxillofacial Surgery
Practice address 105 Ben Casey Dr, Suite 115, Fort Mill, SC, 29708
Fax (803) 548-9915
Enumeration date Mar 14, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 3553611 (SC) Primary

Authorized official

Name Kenneth Burtner
Title Oral Surgeon

Other identifiers

Identifier Type State Issuer
5903373 Medicaid NC -
ZX3553 Medicaid SC -
ZA9491 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Carolina Oral & Maxillofacial Surgery located?
The practice location on file with NPPES is in Fort Mill, SC.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.