| Omscor Llc | |
|
218 Wall St Powdersville SC 29673-6754 | |
| (864) 420-2738 | |
| Not Available |
| Full Name | Omscor Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 218 Wall St, Powdersville, South Carolina |
| Authorized Official Name and Position | Brett Shigley (PRESIDENT) |
| Authorized Official Contact | 8644202738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omscor Llc 1140 Woodruff Rd Ste 106-180 Greenville SC 29607-4172 Ph: (864) 420-2738 | Omscor Llc 218 Wall St Powdersville SC 29673-6754 Ph: (864) 420-2738 |
| NPI Number | 1679178206 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 12/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679178206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Powdersville Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Clair Dr, Powdersville, SC 29673 Phone: 864-269-3662 | |
Dental Professionals Of Sc, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Mcneely Rd, Powdersville, SC 29673 Phone: 864-509-0040 |