Organization · Type 2 NPI
Foothills Oral & Facial Surgery, PA
Oral and Maxillofacial Surgery (Dentist) · Simpsonville, SC
NPI number
1104974609
Active
Practice location
634 Fairview Rd, Building C
Simpsonville, SC 29680
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 4084 (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 1104974609
Foothills Oral & Facial Surgery, PA's National Provider Identifier is 1104974609, issued on Jan 8, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Simpsonville, SC. The record was last updated on Aug 22, 2020.