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

UPSTATE ORAL AND MAXILLOFACIAL SURGERY, P.A.

Active Organization

UPSTATE ORAL AND MAXILLOFACIAL SURGERY, P.A. is a Oral & Maxillofacial Surgery organization located in SPARTANBURG, South Carolina. NPI 1366577389 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · SPARTANBURG, SC

Registration Details

NPI Number
1366577389
Provider Type
Organization
NPI Issued
Feb 22, 2007 (19.50835873021 yrs)
Last Updated
Jan 6, 2011
Licenses
2143 (SC)
2121 (SC)

Practice Information

Address
280 NORTH GROVE MEDICAL PARK DR.
SPARTANBURG, SC, 293034222
Browse SC providers · Browse ZIP 29303
Phone
8645853318
Fax
8645854800
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Organizations in SPARTANBURG, SC

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.