Oral Surgery & Implant Associates of Greenville, LLC
NPI #1073744124 in Greenville, South Carolina
Provider Information
- NPI Number
- 1073744124
- Entity Type
- Organization
- Organization Name
- Oral Surgery & Implant Associates of Greenville, LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Aug 6, 2009
- Last Updated
- Aug 6, 2009
Practice Location
- Address
- 10 ENTERPRISE BLVD
- Address 2
- SUITE 209
- City
- Greenville
- State
- South Carolina
- ZIP Code
- 29615-6301
- Phone
- (864) 234-8811
Authorized Official
- Name
- DR. JEFFREY JAMES SIMMONS, DMD, MD
- Title
- OWNER
- Phone
- (864) 234-8811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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