institution
Upstate Oral And Maxillofacial Surgery, P.a.
Oral and Maxillofacial Surgery (Dentist) in Spartanburg, South Carolina
NPI 1366577389

Upstate Oral And Maxillofacial Surgery, P.a. is a Oral and Maxillofacial Surgery (Dentist) based in Spartanburg, SC and is specialized in Oral and Maxillofacial Surgery. Upstate Oral And Maxillofacial Surgery, P.a. practices in Spartanburg, SC. The NPI Number for Upstate Oral And Maxillofacial Surgery, P.a. is 1366577389 and holds a License No. 2121 (South Carolina).

The current practice location address for Upstate Oral And Maxillofacial Surgery, P.a. is 280 North Grove Medical Park Dr., Spartanburg, SC and can be reached out via phone at 864-585-3318 and via fax at 864-585-4800.

Location: 280 North Grove Medical Park Dr., Spartanburg, SC, 29303-4222
institution
Provider Profile Details
NPI Number
1366577389
Provider Name
Upstate Oral And Maxillofacial Surgery, P.a.
Credential
Provider Entity Type
Organization
Address
280 North Grove Medical Park Dr., Spartanburg, SC, 29303-4222
Phone Number
864-585-3318
Fax Number
864-585-4800
Provider Enumeration Date
02/22/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZA9899 05 SC
Z21218 05 SC
Z21432 05 SC
institution
Provider Business Practice Location Address Details
Address
280 North Grove Medical Park Dr.
City
State
Zip
29303-4222
Phone Number
864-585-3318
Fax Number
864-585-4800
person
Provider Business Mailing Address Details
Address
280 North Grove Medical Park Dr.
City
State
Zip
29303-4222
Phone Number
864-585-3318
Fax Number
864-585-4800
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
2121 (South Carolina)
Definition
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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