Midlands Oral And Maxillofacial Surgery

LBN: Midlands Oral And Maxillofacial Surgery
Midlands Oral And Maxillofacial Surgery is an health care organization with primary practice located at 1755 Saint Julian Pl , Columbia SC 29204-2409. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Midlands Oral And Maxillofacial Surgery can be contacted via phone (803) 254-2972, or through Montes, Diane M via phone (803) 254-2972.

Contact Information

Primary practice address
1755 Saint Julian Pl Columbia SC 29204-2409
Phone: (803) 254-2972
Fax: (803) 799-2151
Website:
Map and Directions
Authorized official contact:
Name: Montes, Diane M
Phone: (803) 254-2972

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 1788 South Carolina

Profile Details

NPI number 1386699288
LBN Legal business name Midlands Oral And Maxillofacial Surgery
DBA Doing business as
Authorized official Montes, Diane M
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Aug 22nd, 2020 - about 4 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 1386699288 NPPES
South Carolina MEDICAID ZA9935

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