Upstate Oral And Maxillofacial Surgery, P.A. in Spartanburg - Oral And Maxillofacial Surgery
Upstate Oral And Maxillofacial Surgery, P.A. - NPI 1366577389
Upstate Oral And Maxillofacial Surgery, P.A. is a Oral And Maxillofacial Surgery in Spartanburg, South Carolina. Upstate Oral And Maxillofacial Surgery, P.A. practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Upstate Oral And Maxillofacial Surgery, P.A. is 1366577389. The last update date is 2011-01-06.
Upstate Oral And Maxillofacial Surgery, P.A.'s current location address is 280 North Grove Medical Park Drive, Spartanburg, South Carolina. You can contact this provider via phone number 8645853318 and fax number 8645854800. The mailing address for Upstate Oral And Maxillofacial Surgery, P.A. is 280 North Grove Medical Park Drive, Spartanburg, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Upstate Oral And Maxillofacial Surgery, P.A. |
|---|---|
| Address | 280 North Grove Medical Park Drive, Spartanburg, South Carolina |
| Phone Number | 8645853318 |
| Fax Number | 8645854800 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mills P. Wiiliam |
| Credentials | DMD |
| Telephone Number | 8645853318 |
NPI Number Detail
| NPI Number | 1366577389 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2011-01-06 |
Provider Mailing Address Detail
| Address | 280 North Grove Medical Park Drive |
|---|---|
| City | Spartanburg |
| State | South Carolina (SC) |
| Post Code | 293034222 |
| Phone Number | 8645853318 |
| Fax Number | 8645854800 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 2143 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZA9899 | SC | -- | |
| Z21218 | SC | -- | |
| Z21432 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Upstate Oral And Maxillofacial Surgery, P.A. by the Centers for Medicare & Medicaid Services?
The Upstate Oral And Maxillofacial Surgery, P.A. has been issued the NPI (National Provider Identifier) 1366577389 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Upstate Oral And Maxillofacial Surgery, P.A.?
The Upstate Oral And Maxillofacial Surgery, P.A. is situated at 280 North Grove Medical Park Drive, in the city of Spartanburg, state of SC, with the zip code 293034222.
What is the Upstate Oral And Maxillofacial Surgery, P.A.'s specialty and taxonomy code?
The Upstate Oral And Maxillofacial Surgery, P.A.'s specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date was the 1366577389 assigned to Upstate Oral And Maxillofacial Surgery, P.A.?
The Upstate Oral And Maxillofacial Surgery, P.A. was issued its 1366577389 on 2007-02-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Upstate Oral And Maxillofacial Surgery, P.A.'s information last updated?
The Upstate Oral And Maxillofacial Surgery, P.A.'s information was last updated on 2011-01-06.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH