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

Northeast Oral & Maxillofacial

Organization Oral and Maxillofacial Pathology Dentistry · NPI 1407067473

Northeast Oral & Maxillofacial is an Oral and Maxillofacial Pathology Dentistry in Columbia, South Carolina. Registered with an NPI since 2007.

In the registry since
2007
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1118 Greenlawn Dr
Columbia, SC 29209-2606
Phone: (803) 695-1118
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Oral and Maxillofacial Pathology Dentistry (primary) Taxonomy 1223P0106X

Record details

NPI number1407067473
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tricia Lasseter — Insurance Coordinator · (803) 699-5900
Other names Garners Ferry Oral & Maxillofacial Surgery Center
NPI enumeratedMay 24, 2007
Last updated in NPPESAugust 6, 2008
Mailing address1118 Greenlawn Dr, Columbia, SC 29209-2606

Other providers in Columbia