Oral Surgery & Implant Associates of Greenville, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL SURGERY & IMPLANT ASSOCIATES OF GREENVILLE, LLC

Practice address

10 Enterprise Blvd
Suite 209
Greenville, SC 29615-6301

Phone

(864) 234-8811

Fax

(864) 234-8844

NPI assigned

Aug 6, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey James Simmons, DMD, MDNPI 1275586950

Title

Owner

Phone

(864) 234-8811

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey James Simmons, DMD MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Greenville, SC
  • NPI 1275586950
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1073744124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ENTERPRISE BLVD",
            "address_2": "SUITE 209",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156301",
            "telephone_number": "864-234-8811",
            "fax_number": "864-234-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ENTERPRISE BLVD",
            "address_2": "SUITE 209",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156301",
            "telephone_number": "864-234-8811",
            "fax_number": "864-234-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY & IMPLANT ASSOCIATES OF GREENVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-234-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Jeanne Opperman, ATC
• Optima Counseling and Consulting, LLC
• Optimum Healthcare
• Optimum Healthcare
• Oracle Advisors, Inc
• Oral Surgery Associates,PA
• Samuel Orchard
• Savannah Ordaz
• Nicholas J Orlowsky, PA-C
• Alexis Victoria Orndorff, DC

• Oral and Maxillofacial Surgery (Dentist) in Greenville, SC
• Providers in Greenville, SC by specialty
• Oral and Maxillofacial Surgery (Dentist) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.