| Oral And Maxillofacial Surgery Of Anderson,llc | |
|
1514 North Fant Street Anderson SC 29621-4708 | |
| (864) 226-8559 | |
| (864) 226-8853 |
| Full Name | Oral And Maxillofacial Surgery Of Anderson,llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1514 North Fant Street, Anderson, South Carolina |
| Authorized Official Name and Position | William S. Dunlap (ORAL SURGEON) |
| Authorized Official Contact | 8642268559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral And Maxillofacial Surgery Of Anderson,llc 1514 North Fant Street Anderson SC 29621-4708 Ph: (864) 226-8559 | Oral And Maxillofacial Surgery Of Anderson,llc 1514 North Fant Street Anderson SC 29621-4708 Ph: (864) 226-8559 |
| NPI Number | 1568538098 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 02/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568538098 | NPI | - | NPPES |
| ZA9593 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3257 (South Carolina) | Primary |
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