Organization · Type 2 NPI

Ccofs Oral Surgery 2 LLC

Oral and Maxillofacial Surgery (Dentist) · Greenville, SC

NPI number 1700491685 Active

Practice location

4103 E North St
Greenville, SC 29615-2350

Call (864) 268-6417 Map

Fax (864) 268-3200

Mailing address

7482 Waterside Crossing Blvd Ste 101
Denver, NC 28037-3006

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	None 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.

Another provider at this address

James B. Tankersley Jr., DMDOral & Maxillofacial Surgery (D.M.D.) Greenville, SC NPI 1790720043

Other oral and maxillofacial surgery (dentist) providers in Greenville

See all in Greenville →

NPI record

NPI: 1700491685
Entity type: Organization (Type 2)
Issued: Sep 9, 2020
Last updated: Sep 9, 2020
Status: Active
Subpart: Yes of DRS Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco PA

Other names

Carolinas Center for Oral & Facial Surgery · other name

Authorized official

Mrs. Jennifer Rayle Hock
Director of Billing
(704) 295-4653

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1700491685

Ccofs Oral Surgery 2 LLC's National Provider Identifier is 1700491685, issued on Sep 9, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Greenville, SC. The record was last updated on Sep 9, 2020.