Foothills Oral & Facial Surgery, PA
NPI #1104974609 in Simpsonville, South Carolina
Provider Information
- NPI Number
- 1104974609
- Entity Type
- Organization
- Organization Name
- Foothills Oral & Facial Surgery, PA
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 634 FAIRVIEW RD
- Address 2
- BUILDING C
- City
- Simpsonville
- State
- South Carolina
- ZIP Code
- 29680
- Phone
- (864) 967-4000
Authorized Official
- Name
- DR. VICTOR LEBEDOVYCH, DDS
- Title
- PRESIDENT
- Phone
- (864) 967-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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