NPI 1184506693

Greenville Oral Maxillofacial Surgery, P.A., a South Carolina Professi

Organisation Oral & Maxillofacial Surgery (D.M.D.) Summerville, SC

Practice location

Address: 403 W 4th North St Unit a, Summerville, SC 29483-6552
Phone: (843) 821-7583

Authorised official

Name: Tina a Hicks
Title: Billing
Phone: (864) 216-7924

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in South Carolina →

Registry record

NPI: 1184506693
Entity type: Organization
NPI issued: 24 Jul 2025
Record last updated: 24 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.