Greenville Oral Surgery, P.A.

LBN: Greenville Oral Surgery, P.A.
Greenville Oral Surgery, P.A. is an health care organization with primary practice located at 3929 S Highway 14 , Greenville SC 29615-6138. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as the primary health care specialty. Greenville Oral Surgery, P.A. can be contacted via phone (864) 281-9119, or through Wilson, James C via phone (864) 281-9119.

Contact Information

Primary practice address
3929 S Highway 14 Greenville SC 29615-6138
Phone: (864) 281-9119
Fax: (864) 281-9776
Website:
Map and Directions
Authorized official contact:
Name: Wilson, James C Doctor of Dental Medicine (DMD)
Phone: (864) 281-9119

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 30-03194 South Carolina

Profile Details

NPI number 1619008547
LBN Legal business name Greenville Oral Surgery, P.A.
DBA Doing business as
Authorized official Wilson, James C Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Aug 22nd, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619008547 NPPES
South Carolina MEDICAID Z 31948

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