institution
Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.a.
Oral and Maxillofacial Surgery (Dentist) in Easley, South Carolina
NPI 1770707887

Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.a. is a Oral and Maxillofacial Surgery (Dentist) based in Easley, SC and is specialized in Oral and Maxillofacial Surgery. Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.a. practices in Easley, SC. The NPI Number for Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.a. is 1770707887 and holds a License No. (South Carolina).

The current practice location address for Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.a. is 227 S Pendleton St, Easley, SC and can be reached out via phone at 864-855-0383 and via fax at 864-855-0390.

Location: 227 S Pendleton St, Easley, SC, 29640-3047
institution
Provider Profile Details
NPI Number
1770707887
Provider Name
Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.a.
Credential
Provider Entity Type
Organization
Address
227 S Pendleton St, Easley, SC, 29640-3047
Phone Number
864-855-0383
Fax Number
864-855-0390
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZ1503 05 SC
ZX3518 05 SC
1730197641 01 SC NPI SAMER A. JOUDEH
ZG1698 05 SC
1629182506 01 SC NPI W. MICHAEL RIDDLE
1780769307 01 SC NPI S. ANTHONY BOWIE
institution
Provider Business Practice Location Address Details
Address
227 S Pendleton St
City
State
Zip
29640-3047
Phone Number
864-855-0383
Fax Number
864-855-0390
person
Provider Business Mailing Address Details
Address
227 S Pendleton St
City
State
Zip
29640-3047
Phone Number
864-855-0383
Fax Number
864-855-0390
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
(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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