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

Sumter Oral & Maxillofacial Surgery PA

Organization Dentist · NPI 1083677884

Sumter Oral & Maxillofacial Surgery PA is a Dentist in Sumter, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
Specialties on file
2
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

1210 Wilson Hall Rd
Sumter, SC 29150-1889
Phone: (803) 905-4404
Fax: (803) 905-4406
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 474 (SC)
Dentist Taxonomy 122300000X · Licence 3273 (SC)

Record details

NPI number1083677884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael McGinnis — Owner · (803) 905-4404
Other names Dental Implant Center Of Sumter
NPI enumeratedApril 11, 2006
Last updated in NPPESJanuary 14, 2011
Mailing address1210 Wilson Hall Rd, Sumter, SC 29150-1889

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