Individual provider · Type 1 NPI
Albert Drane Oliphant Iv, DMD, MD
Oral and Maxillofacial Surgery (Dentist) · Charleston, SC
NPI number
1336302363
Active
Practice location
125 Wappoo Creek Dr # C
Charleston, SC 29412-2163
Fax (843) 762-9030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 8500 (KY) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 7125 (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.
Other oral and maxillofacial surgery (dentist) providers in Charleston
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About NPI 1336302363
Albert Drane Oliphant Iv, DMD, MD's National Provider Identifier is 1336302363, issued on Jul 9, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Charleston, SC. The record was last updated on Jun 15, 2013.