Anderson Oral And Maxillofacial Surgery, Pa
LBN: Anderson Oral And Maxillofacial Surgery, Pa
Anderson Oral And Maxillofacial Surgery, Pa is an health care organization with primary practice located at 1209 Ella Street , Anderson SC 29621. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Anderson Oral And Maxillofacial Surgery, Pa can be contacted via phone (864) 226-7503, or through Sumner, Lewis Tyler via phone (864) 226-7503.
Contact Information
Primary practice address
1209 Ella Street
Anderson SC 29621
Phone: (864) 226-7503
Fax: (864) 225-4937
Website:
Authorized official contact:
Name: Sumner, Lewis Tyler Doctor of Dental Medicine (DMD)
Phone: (864) 226-7503
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 3483 | South Carolina |
Profile Details
| NPI number | 1326173428 |
|---|---|
| LBN Legal business name | Anderson Oral And Maxillofacial Surgery, Pa |
| DBA Doing business as | |
| Authorized official | Sumner, Lewis Tyler Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Dec 6th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326173428 | NPPES |
| South Carolina | MEDICAID | ZA9686 |
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