| Oral And Maxillofacial Surgery Assoc.pa | |
|
1325 Drayton Rd Spartanburg SC 29307-5106 | |
| (864) 591-3500 | |
| (864) 591-2235 |
| Full Name | Oral And Maxillofacial Surgery Assoc.pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1325 Drayton Rd, Spartanburg, South Carolina |
| Authorized Official Name and Position | Charles Keith Cox (ORAL SURGEON) |
| Authorized Official Contact | 8645913500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral And Maxillofacial Surgery Assoc.pa 1325 Drayton Rd Spartanburg SC 29307-5106 Ph: (864) 591-3500 | Oral And Maxillofacial Surgery Assoc.pa 1325 Drayton Rd Spartanburg SC 29307-5106 Ph: (864) 591-3500 |
| NPI Number | 1972718898 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 07/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972718898 | NPI | - | NPPES |
| Z30395 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3039 (South Carolina) | Primary |
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