Foothills Oral & Facial Surgery
NPI #1134549629 in Anderson, South Carolina
Provider Information
- NPI Number
- 1134549629
- Entity Type
- Organization
- Organization Name
- Foothills Oral & Facial Surgery
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Apr 23, 2014
- Last Updated
- Apr 23, 2014
Practice Location
- Address
- 301 W BELTLINE BLVD
- Address 2
- #301
- City
- Anderson
- State
- South Carolina
- ZIP Code
- 29625-1505
- Phone
- (864) 967-4000
Authorized Official
- Name
- VICTOR P LEBEDOVYCH, DDS
- Title
- PRESIDENT/CEO
- Phone
- (864) 967-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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