| Anderson Oral And Maxillofacial Surgery, Pa | |
|
1209 Ella Street Anderson SC 29621 | |
| (864) 226-7503 | |
| (864) 225-4937 |
| Full Name | Anderson Oral And Maxillofacial Surgery, Pa |
|---|---|
| Speciality | Dentist |
| Location | 1209 Ella Street, Anderson, South Carolina |
| Authorized Official Name and Position | Lewis Tyler Sumner (PHYSICIAN/ OWNER) |
| Authorized Official Contact | 8642267503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Oral And Maxillofacial Surgery, Pa 1209 Ella Street Anderson SC 29621 Ph: (864) 226-7503 | Anderson Oral And Maxillofacial Surgery, Pa 1209 Ella Street Anderson SC 29621 Ph: (864) 226-7503 |
| NPI Number | 1326173428 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 12/06/2013 |
| Medicare PECOS PAC ID | 6204064488 |
|---|---|
| Medicare Enrollment ID | O20140115000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326173428 | NPI | - | NPPES |
| ZA9686 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3483 (South Carolina) | Primary |
Dentalworks Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 146 Commons Parkway, Anderson, SC 29621 Phone: 864-224-6300 Fax: 216-584-1154 | |
Southern Pediatric Dentistry P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 N Fant St, Anderson, SC 29621 Phone: 864-844-9393 Fax: 864-844-9395 | |
Trinity Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 N Fant St, Anderson, SC 29621 Phone: 864-224-4736 | |
Austin/pray Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 218a E Shockley Ferry Rd, Anderson, SC 29624 Phone: 864-226-4411 Fax: 864-226-9323 | |
Foster Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 Ella St, Anderson, SC 29621 Phone: 864-261-8985 | |
Progrin Dental Of Westside, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Michelin Blvd, Anderson, SC 29625 Phone: 864-332-4117 | |
Cornerstone Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Mutual Dr, Anderson, SC 29621 Phone: 864-222-9001 |