| Lexington Facial And Oral Surgery | |
|
811 W Main St Suite 201 Lexington SC 29072-2507 | |
| (803) 951-7343 | |
| (803) 951-2298 |
| Full Name | Lexington Facial And Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 811 W Main St, Lexington, South Carolina |
| Authorized Official Name and Position | Patrick A Scioscia (OWNER) |
| Authorized Official Contact | 8039517343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lexington Facial And Oral Surgery 811 W Main St Suite 201 Lexington SC 29072-2507 Ph: (803) 951-7343 | Lexington Facial And Oral Surgery 811 W Main St Suite 201 Lexington SC 29072-2507 Ph: (803) 951-7343 |
| NPI Number | 1639308349 |
|---|---|
| Provider Enumeration Date | 07/02/2009 |
| Last Update Date | 07/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639308349 | NPI | - | NPPES |
| ZA9713 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3307 (South Carolina) | Primary |
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