ASSOCIATES IN ORAL & MAXILLOFACIAL SURGERY, PA (NPI# 1255450110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255450110 |
| Entity Type | Organization |
| Organization Name | ASSOCIATES IN ORAL & MAXILLOFACIAL SURGERY, PA |
| Practice Address |
112 Saluda Ridge Ct Suite 400 West Columbia SC 29169-3460 |
| Mailing Address |
7033 Saint Andrews Rd Suite 102 Columbia SC 29212-1179 |
| Practice Telephone | 8037813321 |
| Practice Fax Number | 8037814406 |
| Mailing Telephone | 8037813321 |
| Mailing Fax Number | 8037814406 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2011-04-18 |
| Authorized Official Name | DR. JAMES E. MERCER (PRES) |
| Authorized Official Telephone | 8037813321 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZA9693 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205955168 | Associates In Oral & Maxillofacial Surgery, Pa | Dentist | 307 Columbia Ave, Lexington, SC 29072-2613 | 2007-03-29 |
| 1194846014 | Associates In Oral & Maxillofacial Surgery, Pa | Dentist | 475 Morris Ave, Springfield, NJ 07081-1005 | 2007-04-02 |
| 1548335136 | Associates In Oral & Maxillofacial Surgery, Pa | Dentist | 7033 Saint Andrews Rd, Suite 102, Columbia, SC 29212-1179 | 2006-11-21 |
| Street Address |
112 SALUDA RIDGE CT SUITE 400 |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-3460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255390993 | Intramed Plus, Inc | Pharmacy | 112 Saluda Ridge Ct, Suite 100, West Columbia, SC 29169-3455 | 2006-03-21 |
| 1710200076 | Sleeprx, Inc. | Durable Medical Equipment & Medical Supplies | 112 Saluda Ridge Ct, Suite 200, West Columbia, SC 29169-3460 | 2010-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710178793 | Dds Services, LLC | Dentist | 110 Medical Ln E, Suite 115, West Columbia, SC 29169-4817 | 2007-08-06 |
| 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 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1417309956 | Marian Mitchell Oliver Corp. | Dentist | 939 Jc Calhoun Drive, Orangeburg, SC 29115 | 2016-07-08 |
| 1205290764 | Sloan Rehder | Dentist | 2051 Sam Rittenberg Blvd, Charleston, SC 29407-4683 | 2016-04-11 |
| 1689039869 | Faircloth and Bakeman Partnership | Dentist | 150 Crepe Myrtle Dr, Aiken, SC 29803-7543 | 2015-12-15 |
| 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 |
| 1922499011 | Chapin Oral and Maxillofacial Surgery, LLC | Dentist | 112 St. Peter's Church Road, Chapin, SC 29036 | 2015-02-10 |
| 1437557121 | Sumter Oral & Maxillofacial Surgery | Dentist | 624 Front St, Georgetown, SC 29440-3624 | 2014-12-11 |
| Find all providers with the same taxonomy | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
Please comment or provide details below to improve the information on ASSOCIATES IN ORAL & MAXILLOFACIAL SURGERY, PA.
| 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.