Organization · Type 2 NPI
Sumter Oral & Maxillofacial Surgery PA
Oral and Maxillofacial Surgery (Dentist) · Sumter, SC
NPI number
1083677884
Active
Practice location
1210 Wilson Hall Rd
Sumter, SC 29150-1889
Fax (803) 905-4406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 3273 (SC) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 474 (SC) |
Oral and Maxillofacial Surgery (Dentist): 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.
2 other providers at this address
About NPI 1083677884
Sumter Oral & Maxillofacial Surgery PA's National Provider Identifier is 1083677884, issued on Apr 11, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Sumter, SC. The record was last updated on Jan 14, 2011.