| Oral Surgery & Implant Associates Of Greenville, Llc | |
|
10 Enterprise Blvd Suite 209 Greenville SC 29615-6301 | |
| (864) 234-8811 | |
| (864) 234-8844 |
| Full Name | Oral Surgery & Implant Associates Of Greenville, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 10 Enterprise Blvd, Greenville, South Carolina |
| Authorized Official Name and Position | Jeffrey James Simmons (OWNER) |
| Authorized Official Contact | 8642348811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery & Implant Associates Of Greenville, Llc 10 Enterprise Blvd Suite 209 Greenville SC 29615-6301 Ph: (864) 234-8811 | Oral Surgery & Implant Associates Of Greenville, Llc 10 Enterprise Blvd Suite 209 Greenville SC 29615-6301 Ph: (864) 234-8811 |
| NPI Number | 1073744124 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 08/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073744124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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