NPIMap

Organization Active NPI

Sumter Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Georgetown, SC
National Provider Identifier
1437557121
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
3273 Issued in SC
Legal business name
SUMTER ORAL & MAXILLOFACIAL SURGERY
Practice address
624 Front St
Georgetown, SC 29440-3624
Phone
(843) 485-4081
Fax
(843) 485-4243
NPI assigned
Dec 11, 2014
Last updated
Dec 11, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMTER ORAL & MAXILLOFACIAL SURGERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Authorized official

Name
Dr. Michael McGinnis, DDS,MS
Title
Doctor
Phone
(843) 485-4081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 3273 SC Primary

Addresses

Primary practice location

624 Front St
Georgetown, SC 29440-3624

Mailing address

624 Front St
Georgetown, SC 29440-3624
Phone (843) 485-4081

Other names 1

  • Georgetown Oral & Maxillofacial Surgery Other name

National Provider Directory

National Provider Directory
Tax ID family
Michael a McGinnis DDS2 organizations share this tax ID, including this one
Part of
Michael a McGinnis DDS

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1437557121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 FRONT ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403624",
            "telephone_number": "843-485-4081",
            "fax_number": "843-485-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 FRONT ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403624",
            "telephone_number": "843-485-4081",
            "fax_number": "843-485-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMTER ORAL & MAXILLOFACIAL SURGERY",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "MCGINNIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "843-485-4081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "3273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Oral & Maxillofacial Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Georgetown, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.