CHARLESTON ORAL AND FACIAL SURGERY INC. NPI 1043409063

NPI Information

CHARLESTON ORAL AND FACIAL SURGERY, INC. is an oral and maxillofacial surgery dentist in Charleston, SC. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. CHARLESTON ORAL AND FACIAL SURGERY, INC. NPI is 1043409063. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Charleston Center For Oral & Facial Surgery.

The provider's business location address is:

125 WAPPOO CREEK DR
SUITE 1
CHARLESTON, SC
ZIP 29412-163
Phone: (843) 762-9028
Fax: (843) 762-9030

The provider's authorized official is Edward R Strauss .
The authorized official title is Owner and has the following contact phone number (843) 762-9028.

The enumeration date for this NPI number is 10/16/2007 and was last updated on 10/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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