UPSTATE ORAL AND MAXILLOFACIAL SURGERY P.A. NPI 1366577389

NPI Information

UPSTATE ORAL AND MAXILLOFACIAL SURGERY, P.A. is an oral and maxillofacial surgery dentist in Spartanburg, SC. The provider is an oral and maxillofacial surgery dentist specialized in 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. UPSTATE ORAL AND MAXILLOFACIAL SURGERY, P.A. NPI is 1366577389. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

280 NORTH GROVE MEDICAL PARK DR.
SPARTANBURG, SC
ZIP 29303-222
Phone: (864) 585-3318
Fax: (864) 585-4800

The provider's authorized official is Wiiliam P. Mills .
The authorized official title is Owner and has the following contact phone number (864) 585-3318.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 1/6/2011.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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