| Associates In Oral & Maxillofacial Surgery, Pa | |
|
112 Saluda Ridge Ct Suite 400 West Columbia SC 29169-3460 | |
| (803) 781-3321 | |
| (803) 781-4406 |
| Full Name | Associates In Oral & Maxillofacial Surgery, Pa |
|---|---|
| Speciality | Dentist |
| Location | 112 Saluda Ridge Ct, West Columbia, South Carolina |
| Authorized Official Name and Position | James E. Mercer (PRES) |
| Authorized Official Contact | 8037813321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 112 Saluda Ridge Ct Suite 400 West Columbia SC 29169-3460 Ph: (803) 781-3321 |
| NPI Number | 1255450110 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 04/18/2011 |
| Medicare PECOS PAC ID | 6901865344 |
|---|---|
| Medicare Enrollment ID | O20041011000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255450110 | NPI | - | NPPES |
| ZA9693 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Mark Chishom |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1417908328 PECOS PAC ID: 5597986356 Enrollment ID: I20141020000954 |
Dr. George H. Fann, D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Professional Ave, West Columbia, SC 29169 Phone: 803-796-0666 Fax: 803-796-8753 | |
3244 Sunset West Columbia Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3244 Sunset Blvd, West Columbia, SC 29169 Phone: 803-794-2273 Fax: 803-828-5982 | |
Alvin H Danenberg, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3244 Sunset Blvd, West Columbia, SC 29169 Phone: 803-796-7543 | |
Indigo Dentistry West Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Medical Cir, West Columbia, SC 29169 Phone: 803-796-9312 | |
Family Dental Health Of Saint Andrews Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2844 Sunset Blvd, West Columbia, SC 29169 Phone: 803-772-1548 Fax: 864-751-6387 | |
Carolina Smiles Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3244 Sunset Blvd, West Columbia, SC 29169 Phone: 843-352-4454 Fax: 843-352-4875 | |
Southern Dental Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3244 Sunset Blvd, West Columbia, SC 29169 Phone: 803-796-1140 Fax: 803-796-1974 |