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CCOFS ORAL SURGERY I LLC NPI 1396397501


NPI Information

NPI: 1396397501
Provider Name: CCOFS ORAL SURGERY I, LLC
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
280 ROCKY SLOPE RD
GREENVILLE, SC
ZIP 29607
Phone: (864) 751-9972
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CCOFS ORAL SURGERY I, LLC is an oral maxillofacial surgery in Greenville, SC. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. CCOFS ORAL SURGERY I, LLC NPI is 1396397501. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

280 ROCKY SLOPE RD
GREENVILLE, SC
ZIP 29607-908
Phone: (864) 751-9972

The provider's authorized official is Jennifer Rayle Hock .
The authorized official title is Rco Manager and has the following contact phone number (704) 295-4653.

The enumeration date for this NPI number is 7/9/2019 and was last updated on 7/9/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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