Apex Oral Surgery, Inc

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

8331; 878OS Issued in SC

Legal business name

APEX ORAL SURGERY, INC

Practice address

664 Long Point Rd Unit B
Unit B
Mt Pleasant, SC 29464-8316

Phone

(843) 790-4667

Fax

(866) 362-1232

NPI assigned

Apr 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Charlotte Helene Marvil, DDSNPI 1205064318

Title

President

Phone

(443) 827-7677

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Charlotte Helene Marvil, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Mount Pleasant, SC
  • NPI 1205064318
  NPD (past) Authorized official

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1144683632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 LONG POINT RD UNIT B",
            "address_2": "UNIT B",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648316",
            "telephone_number": "843-790-4667",
            "fax_number": "866-362-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 LONG POINT RD UNIT B",
            "address_2": "UNIT B",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648316",
            "telephone_number": "843-790-4667",
            "fax_number": "866-362-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX ORAL SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "MARVIL",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "HELENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-827-7677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "8331; 878OS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1205064318",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX8331",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Ansell
• Kristin Marie Ansley, NURSE PRACTITIONER,
• Heather Brooke Joye Anthony, PA-C
• Matthew Michael Antonucci, D.C., D.A.C.N.B
• Ao Spinal Care PLLC
• Apollomd Group Services LLC
• Claire Horton Apple, OTR/L
• Rachel Apple
• Brianna Lorena Arcega, CF-SLP
• Arcis Healthcare, LLC

• Oral and Maxillofacial Surgery Clinic/Center in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Oral and Maxillofacial Surgery Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.