Organization · Type 2 NPI

Greenville Ear Nose & Throat

Oral and Maxillofacial Surgery Clinic/Center · Greenville, SC

NPI number 1932169273 Active

Practice location

200 Patewood Dr, Building B Suite B400
Greenville, SC 29615-3593

Call (864) 454-4368 Map

Fax (864) 454-4345

Mailing address

PO Box 26569
Greenville, SC 29616-1569

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112X15939 (SC)

Oral and Maxillofacial Surgery Clinic/Center: 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.

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About NPI 1932169273

Greenville Ear Nose & Throat's National Provider Identifier is 1932169273, issued on Mar 23, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Greenville, SC. The record was last updated on Dec 4, 2007.