Organization · Type 2 NPI

Prisma Health Medical Group-Midlands

Oral and Maxillofacial Surgery (Dentist) · Columbia, SC

NPI number 1417442864 Active

Practice location

10 Richland Medical Park Dr Ste A
Columbia, SC 29203-6892

Call (803) 434-6565 Map

Mailing address

PO Box 743904
Atlanta, GA 30374-3904

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

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.

13 other providers at this address

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About NPI 1417442864

Prisma Health Medical Group-Midlands's National Provider Identifier is 1417442864, issued on Jun 28, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Columbia, SC. The record was last updated on Feb 22, 2022.