| Charleston Oral And Maxillofacial Surgery Associates Llc | |
|
2320 Cosgrove Ave Charleston SC 29405-7644 | |
| (843) 554-5003 | |
| (843) 745-0003 |
| Full Name | Charleston Oral And Maxillofacial Surgery Associates Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2320 Cosgrove Ave, Charleston, South Carolina |
| Authorized Official Name and Position | Michael Porter (OWNER) |
| Authorized Official Contact | 2147284858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Oral And Maxillofacial Surgery Associates Llc 2320 Cosgrove Ave Charleston SC 29405-7644 Ph: (214) 728-4858 | Charleston Oral And Maxillofacial Surgery Associates Llc 2320 Cosgrove Ave Charleston SC 29405-7644 Ph: (843) 554-5003 |
| NPI Number | 1538636964 |
|---|---|
| Provider Enumeration Date | 10/24/2018 |
| Last Update Date | 05/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538636964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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