NPI 1396397501

Ccofs Oral Surgery I, LLC

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

Practice location

Address: 280 Rocky Slope Rd, Greenville, SC 29607-3908
Phone: (864) 751-9972
Mailing address: 8738 University City Blvd, Charlotte, NC 28213-3558

Authorised official

Name: Jennifer Rayle Hock
Title: Rco Manager
Phone: (704) 295-4653

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: 1396397501
Entity type: Organization
NPI issued: 9 Jul 2019
Record last updated: 9 Jul 2019

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.