Greenville Oral Maxillofacial Surgery, PA, a South Carolina Professi
Greenville Oral Maxillofacial Surgery, PA, a South Carolina Professi is an Oral & Maxillofacial Surgery (D.M.D.) in Summerville, South Carolina. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
403 W 4th North St Unit ASummerville, SC 29483-6552
Phone: (843) 821-7583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral & Maxillofacial Surgery (D.M.D.) (primary) | Taxonomy 204E00000X |
|---|
Record details
| NPI number | 1184506693 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Greenville Oral Maxillofacial Surgery, PA, a South Carolina Professi |
| Authorized official | Tina Hicks — Billing · (864) 216-7924 |
| Other names | Summerville Oral Surgery |
| NPI enumerated | July 24, 2025 |
| Last updated in NPPES | July 24, 2025 |
| Certification date | July 24, 2025 |
| Mailing address | 403 W 4th North St Unit A, Summerville, SC 29483-6552 |
Other providers in Summerville
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Dr. Miles Christian Ware, DMD
2121 N Main St Unit 101, Summerville, SC 29486-8545 · (843) 853-5859