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

Upstate Oral and Maxillofacial Surgery, PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1366577389

Upstate Oral and Maxillofacial Surgery, PA is an Oral and Maxillofacial Surgery (Dentist) in Spartanburg, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
Specialties on file
2
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

280 N Grove Medical Park Dr
Spartanburg, SC 29303-4222
Phone: (864) 585-3318
Fax: (864) 585-4800
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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 · Licence 2121 (SC)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 2143 (SC)

Record details

NPI number1366577389
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationUpstate Oral and Maxillofacial Surgery, PA
Authorized official Wiiliam Mills — Owner · (864) 585-3318
NPI enumeratedFebruary 22, 2007
Last updated in NPPESJanuary 6, 2011
Mailing address280 North Grove Medical Park Drive, Spartanburg, SC 29303-4222

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