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

Greenville Oral Maxillofacial Surgery, PA, a South Carolina Professi

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1619008547

Greenville Oral Maxillofacial Surgery, PA, a South Carolina Professi is an Oral and Maxillofacial Surgery (Dentist) in Greenville, South Carolina. Registered with an NPI since 2007.

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

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Practice location Address checks out

3929 S Highway 14
Greenville, SC 29615-6138
Phone: (864) 281-9119
Fax: (864) 281-9776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1619008547
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Wilson — President · (864) 281-9119
Other names Greenville Oral Surgery Partners
NPI enumeratedMarch 9, 2007
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024
Mailing address3929 S Highway 14, Greenville, SC 29615-6138

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