SUMTER ORAL & MAXILLOFACIAL SURGERY PA
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1083677884- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1210 WILSON HALL RD, SUMTER, SC, 291501889
- Phone
- (803) 905-4404
- Fax
- (803) 905-4406
Specialties & Taxonomies
Dentist
License: SC #3273
Dentist, Oral and Maxillofacial Surgery
Primary License: SC #474