River Falls Oral Surgery

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

3194 Issued in SC

Legal business name

RIVER FALLS ORAL SURGERY

Practice address

700 Squires PT
Duncan, SC 29334-8879

Phone

(864) 486-8330

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

James C Wilson, DMD

Title

President

Phone

(864) 281-9119

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

River Falls Oral Surgery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Greenville Oral Maxillofacial Surgery, P.a., a South Carolina Professi

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Summerville, SC
  • NPI 1184506693
  NPD tax ID
• Greenville Oral Maxillofacial Surgery, P.a., a South Carolina Professi

  • Oral and Maxillofacial Surgery (Dentist)
  • Greenville, SC
  • NPI 1619008547
  NPD tax ID

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1174656540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SQUIRES PT",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293348879",
            "telephone_number": "864-486-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SQUIRES PT",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293348879",
            "telephone_number": "864-486-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER FALLS ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-281-9119",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "SC",
            "license": "3194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z 31948",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chandrashekara Reddy, MD PHD
• Regenesis Organization Community Health Center
• Regenesis Organization Community Health Center
• Resource Medical Group, LLC
• Hope Rhodes, LPN
• River Falls Peditric Dentistry, PA
• Leah Mayela Rogers, MOT, OTR/L
• Kenneth Oscar Saad, PHARMD
• Dennis Bradley Sain, AT
• Anne Maigue San Buenaventura, PHARMACIST

• Oral and Maxillofacial Pathology Dentistry in Duncan, SC
• Providers in Duncan, SC by specialty
• Oral and Maxillofacial Pathology Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.