| Orangeburg Oral Surgery & Implant Center | |
|
1175 Cook Rd Ste 135 Orangeburg SC 29118-8201 | |
| (803) 534-5444 | |
| Not Available |
| Full Name | Orangeburg Oral Surgery & Implant Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 1175 Cook Rd, Orangeburg, South Carolina |
| Authorized Official Name and Position | Aeolain Funderburg (RECEPTIONIST) |
| Authorized Official Contact | 8035345444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orangeburg Oral Surgery & Implant Center 1175 Cook Rd Ste 135 Orangeburg SC 29118-8201 Ph: () - | Orangeburg Oral Surgery & Implant Center 1175 Cook Rd Ste 135 Orangeburg SC 29118-8201 Ph: (803) 534-5444 |
| NPI Number | 1518177807 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518177807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 1223P0106X (South Carolina) | Primary |
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