Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Foothills Oral & Facial Surgery, PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1104974609

Foothills Oral & Facial Surgery, PA is an Oral and Maxillofacial Surgery (Dentist) in Simpsonville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

634 Fairview Rd Bldg C
Simpsonville, SC 29680
Phone: (864) 967-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 4084 (SC)

Record details

NPI number1104974609
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Lebedovych — President · (864) 967-4000
NPI enumeratedJanuary 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing address634 Fairview Rd, Building C, Simpsonville, SC 29680

Other providers in Simpsonville