SUMTER ORAL & MAXILLOFACIAL SURGERY (NPI# 1437557121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437557121 |
Entity Type | Organization |
Organization Name | SUMTER ORAL & MAXILLOFACIAL SURGERY |
Other Organization Name | GEORGETOWN ORAL & MAXILLOFACIAL SURGERY |
Practice Address |
624 Front St Georgetown SC 29440-3624 |
Practice Telephone | 8434854081 |
Practice Fax Number | 8434854243 |
Mailing Telephone | 8434854081 |
Mailing Fax Number | 8434854243 |
Enumeration Date | 2014-12-11 |
Last Update Date | 2014-12-11 |
Authorized Official Name | DR. MICHAEL MCGINNIS (DOCTOR) |
Authorized Official Telephone | 8434854081 |
Authorized Official Credential | DDS,MS |
Is Organization Subpart | Y |
Parent Organization Name | SUMTER ORAL & MAXILLOFACIAL SURGERY |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3273 | SC | Dental Providers |
Other Name | Type Code |
---|---|
Georgetown Oral & Maxillofacial Surgery | Other Name - Individual/Organization |
Street Address |
624 FRONT ST |
City | GEORGETOWN |
State | SC |
Zip Code | 29440-3624 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
Find all providers in zip 29440 |
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 |
---|---|---|---|---|
1619317039 | Brittany Ky Eidson | Dentist | 4029 Mercer Rd, Georgetown, TX 78628-2141 | 2013-06-29 |
1811090004 | Grant K Nakashima | Dentist | 701 San Gabriel Village Blvd, Georgetown, TX 78626-5594 | 2006-09-06 |
1083671507 | William F Rinehart | Dentist | 1729 N Fraser St, Georgetown, SC 29440-6407 | 2006-04-27 |
1386617835 | Gregory N Burroughs | Dentist | 3622 Williams Dr, Building 1, Georgetown, TX 78628-2420 | 2006-02-07 |
1609000272 | Georgetown Oral and Facial Surgery, LLC | Dentist | 101 Darby Dr, Suite 101, Georgetown, KY 40324-8715 | 2009-05-11 |
1629251624 | Jeremy D Leland | Dentist | 3622 Williams Dr, Bldg 1, Georgetown, TX 78628-2415 | 2007-12-12 |
1942482807 | San Gabriel Oral & Maxillofacial Surgery Associates, P.a. | Dentist | 701 San Gabriel Village Blvd, Georgetown, TX 78626-5594 | 2007-12-03 |
1700931987 | South Strand Oral & Maxillofacial Surgery | Dentist | 1729 N Fraser St, Georgetown, SC 29440-6407 | 2007-01-25 |
1932202124 | Michaelanne E Briggs | Dentist | 701 San Gabriel Village Blvd, Georgetown, TX 78626-5594 | 2006-09-06 |
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 |
1598173627 | Blue Ridge Oral and Maxillofacial Surgery Pa | Dentist | 209 E Highland Ave, Anderson, SC 29621-4711 | 2014-08-01 |
Find all providers with the same taxonomy |
City | GEORGETOWN |
Zip Code | 29440 |
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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.