CHARLESTON ORAL AND FACIAL SURGERY, INC.


Address: 125 Wappoo Creek Dr, Suite 1, Charleston, SC 29412-2163
Phone: 8437629028

CHARLESTON ORAL AND FACIAL SURGERY, INC. (NPI# 1043409063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043409063
Entity Type Organization
Organization Name CHARLESTON ORAL AND FACIAL SURGERY, INC.
Other Organization Name CHARLESTON CENTER FOR ORAL & FACIAL SURGERY
Practice Address 125 Wappoo Creek Dr
Suite 1
Charleston
SC 29412-2163
Mailing Address 125c Wappoo Creek Dr
Suite 1
Charleston
SC 29412-2163
Practice Telephone 8437629028
Practice Fax Number 8437629030
Mailing Telephone 8437629028
Mailing Fax Number 8437629030
Enumeration Date 2007-10-16
Last Update Date 2012-10-19
Authorized Official Name EDWARD R STRAUSS (OWNER)
Authorized Official Telephone 8437629028
Authorized Official Credential DMD, MD
Is Organization Subpart Y
Parent Organization Name CHARLESTON ORAL AND FACIAL SURGERY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
4006 SC Dental Providers

Other Provider/Organization Names

Other Name Type Code
Charleston Center for Oral & Facial Surgery Former Legal Business Name - Organization

Office Location

Street Address 125 WAPPOO CREEK DR
SUITE 1
City CHARLESTON
State SC
Zip Code 29412-2163

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417203696 Patrick Duffy Jr. Psychologist 125 Wappoo Creek Dr, Charleston, SC 29412-2163 2012-07-25
1245549096 Active Life, LLC Clinic/Center 125 Wappoo Creek Dr, Suite 202, Charleston, SC 29412-2163 2010-09-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780219055 Terra Rae Mchugh Speech-Language Pathologist 418 Folly Rd. Phc Rehab, Suite B, Charleston, SC 29412 2020-03-07
1437795747 Brigitte Britt Huttemeyer Nurse Practitioner 678 Castle Pinckney Dr, Charleston, SC 29412 2019-11-21
1760956619 Madison Culler, D.m.d., P.a. Dentist 211 Simmons Street, Mount Pleasant, SC 29412 2019-01-14
1366932717 Harborview Speech Therapy, LLC Speech-Language Pathologist 783 Stebbins Street, Charleston, SC 29412 2018-05-11
1780193003 Grace K Cotton Speech-Language Pathologist 1265 Marshview Dr, Charleston, SC 29412 2017-09-29
1639628449 Matthew Husband Occupational Therapist 930 Folly Road, Suite B, Charleston, SC 29412 2016-09-22
1679941843 Renee Poser Pharmacist 907 Folly Rd Suite A, James Island, SC 29412 2015-09-04
1508205717 Amanda Marie Ashcraft Dental Hygienist 113 Wappoo Creek Drive Suite 5, James Island Dental Associates Pa, Charleston, SC 29412 2013-06-20
1104147818 Glendolyn Harrison Social Worker 125e Wappoo Creek Drive, Suite 101e, Charleston, SC 29412 2010-06-16
1487986055 Rachel E. Brunette Physical Therapist 418 B Folly Rd., Charleston, SC 29412 2010-02-08
Find all providers in zip 29412

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356963508 Clements Ferry Dentistry LLC Dentist 1951 Clements Ferry Rd Ste 201, Charleston, SC 29492-8325 2020-05-11
1851945497 Kacy Wonder Dentist 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 2019-08-01
1205290764 Sloan Rehder Dentist 2051 Sam Rittenberg Blvd, Charleston, SC 29407-4683 2016-04-11
1679954705 Coafs Lab Dentist 125 Wappoo Creek Dr Ste C1, Charleston, SC 29412-2161 2015-06-15
1952798357 Now Or Never 2011, LLC Dentist 2270 Ashley Crossing Dr Ste 175, Charleston, SC 29414-5863 2015-04-23
1124296470 M. Stephen Brandon, Dds LLC Dentist 1051 Gardner Rd Ste B, Charleston, SC 29407-5747 2008-02-20
1659442309 Edward Elias Howard Dentist 1321 Virginia St E, Charleston, WV 25301 2006-11-13
1376614024 Richard Lee Howard Dentist 1321 Virginia St East, Charleston, WV 25301 2006-11-13
1568543619 Francis Simons Hane Jr. Dentist 96 Jonathan Lucas, Charleston, SC 29425 2006-10-17
1114930062 Gordon Scott Weaver Dentist 869 Oakwood Rd, Charleston, WV 25314-2057 2006-08-14
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City CHARLESTON
Zip Code 29412

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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