Greenville Oral Surgery, P.A. in Greenville - Oral And Maxillofacial Pathology

Greenville Oral Surgery, P.A. - NPI 1619008547

Greenville Oral Surgery, P.A. is a Oral And Maxillofacial Pathology in Greenville, South Carolina. Greenville Oral Surgery, P.A. practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Greenville Oral Surgery, P.A. is 1619008547. The last update date is 2020-08-22.

Greenville Oral Surgery, P.A.'s current location address is 3929 S Highway 14, Greenville, South Carolina. You can contact this provider via phone number 8642819119 and fax number 8642819776. The mailing address for Greenville Oral Surgery, P.A. is 3929 S Highway 14, Greenville, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Greenville Oral Surgery, P.A.
Address 3929 S Highway 14, Greenville, South Carolina
Phone Number 8642819119
Fax Number 8642819776
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wilson C James
Credentials DMD
Telephone Number 8642819119

NPI Number Detail

NPI Number 1619008547
Provider Enumeration Date 2007-03-09
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 3929 S Highway 14
City Greenville
State South Carolina (SC)
Post Code 296156138
Phone Number 8642819119
Fax Number 8642819776

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No 30-03194
Definition:
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Z 31948 SC --

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FAQs about Greenville Oral Surgery, P.A.

What is the unique identifier code issued to Greenville Oral Surgery, P.A. by the Centers for Medicare & Medicaid Services (CMS)?

The Greenville Oral Surgery, P.A. has been assigned the NPI (National Provider Identifier) 1619008547. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Greenville Oral Surgery, P.A. is physically located?

The Greenville Oral Surgery, P.A. is situated at the following address: 3929 S Highway 14, Greenville, SC 296156138.

What is Greenville Oral Surgery, P.A.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Greenville Oral Surgery, P.A. is Oral And Maxillofacial Pathology, and the taxonomy code that classifies this field of practice is 1223P0106X.

On what date did the Centers for Medicare & Medicaid Services issue the 1619008547 to Greenville Oral Surgery, P.A.?

The Greenville Oral Surgery, P.A. received its 1619008547 assignment from the Centers for Medicare & Medicaid Services on 2007-03-09.

As of what date was the information regarding Greenville Oral Surgery, P.A., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Greenville Oral Surgery, P.A., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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