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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREENVILLE ORAL MAXILLOFACIAL SURGERY, P.A., A SOUTH CAROLINA PROFESSI

Active Organization

GREENVILLE ORAL MAXILLOFACIAL SURGERY, P.A., A SOUTH CAROLINA PROFESSI is a Oral & Maxillofacial Surgery (Physician) organization located in SUMMERVILLE, South Carolina. NPI 1184506693 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · SUMMERVILLE, SC

Registration Details

NPI Number
1184506693
Provider Type
Organization
NPI Issued
Jul 24, 2025 (1.0812603312812 yrs)
Last Updated
Jul 24, 2025

Practice Information

Address
403 W 4TH NORTH ST UNIT A
SUMMERVILLE, SC, 294836552
Browse SC providers · Browse ZIP 29483
Phone
8438217583
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.