| Associates In Oral & Maxillofacial Surgery, Pa | |
|
307 Columbia Ave Lexington SC 29072-2613 | |
| (803) 781-3321 | |
| (803) 781-4406 |
| Full Name | Associates In Oral & Maxillofacial Surgery, Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 307 Columbia Ave, Lexington, South Carolina |
| Authorized Official Name and Position | James E. Mercer (PRES) |
| Authorized Official Contact | 8037813321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates In Oral & Maxillofacial Surgery, Pa 7033 Saint Andrews Rd Suite 102 Columbia SC 29212-1179 Ph: (803) 781-3321 | Associates In Oral & Maxillofacial Surgery, Pa 307 Columbia Ave Lexington SC 29072-2613 Ph: (803) 781-3321 |
| NPI Number | 1205955168 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205955168 | NPI | - | NPPES |
| ZA9781 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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