Aos N Main Street

Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Summerville, SC

NPI 1043908155 · NPPES record last updated Apr 26, 2023

Key facts

NPI
1043908155
Entity type
Organization (NPI type 2)
Primary specialty
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
Legal business name
AOS N MAIN STREET
Practice address
907 N Main St
Summerville, SC 29483-6632
Phone
(843) 871-0842
NPI assigned
Apr 26, 2023
Organization subpart
No

Authorized official

Name
Angie Bazzle
Title
Operations Manager
Phone
(843) 871-0842

National Provider Directory

Locations

907 N Main St
Summerville, SC 29483
Phone (843) 871-0842

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)
Group: 193400000X SINGLE SPECIALTY GROUP
1223S0112X Yes

Addresses

Primary practice location

907 N Main St
Summerville, SC 29483-6632

Mailing address

1971 N Main St
Summerville, SC 29486-7890
Phone (843) 871-0842

Other names

  • Access Oral Surgery Doing business as

Other providers in Summerville, SC

All providers in Summerville, SC · Oral and Maxillofacial Surgery (Dentist) in South Carolina

Sources for this page

Verify at the official NPI Registry.