Upstate Oral And Maxillofacial Surgery, P.A.
LBN: Upstate Oral And Maxillofacial Surgery, P.A.
Upstate Oral And Maxillofacial Surgery, P.A. is an health care organization with primary practice located at 280 North Grove Medical Park Dr. , Spartanburg SC 29303-4222. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Upstate Oral And Maxillofacial Surgery, P.A. can be contacted via phone (864) 585-3318, or through Mills, Wiiliam P. via phone (864) 585-3318.
Contact Information
Primary practice address
280 North Grove Medical Park Dr.
Spartanburg SC 29303-4222
Phone: (864) 585-3318
Fax: (864) 585-4800
Website:
Authorized official contact:
Name: Mills, Wiiliam P. Doctor of Dental Medicine (DMD)
Phone: (864) 585-3318
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2121 | South Carolina |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2143 | South Carolina |
Profile Details
| NPI number | 1366577389 |
|---|---|
| LBN Legal business name | Upstate Oral And Maxillofacial Surgery, P.A. |
| DBA Doing business as | |
| Authorized official | Mills, Wiiliam P. Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jan 6th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366577389 | NPPES |
| South Carolina | MEDICAID | ZA9899 | |
| South Carolina | MEDICAID | Z21218 | |
| South Carolina | MEDICAID | Z21432 |
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