Active NPI
Oral Surgery Associates,PA
- General Acute Care Hospital
- Greenville, SC
National Provider Identifier
1598830697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 1588
- Legal business name
- ORAL SURGERY ASSOCIATES,PA
- Practice address
- 10 Enterprise Blvd Ste 209
Greenville, SC 29615-3554 - Phone
- (864) 234-8811
- Fax
- (864) 234-8844
- NPI assigned
- Nov 22, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jack H. Hancock, DMD
- Title
- President
- Phone
- (864) 234-8811
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 1588 | SC | Primary |
Addresses
Primary practice location
10 Enterprise Blvd Ste 209
Greenville, SC 29615-3554
Mailing address
10 Enterprise Blvd Ste 209
Greenville, SC 29615-3554
Phone (864) 234-8811
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral and Maxillofacial Surgery (Dentist)
- Greenville, SC
- NPI 1013902980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1598830697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ENTERPRISE BLVD STE 209",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153554",
"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 STE 209",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153554",
"telephone_number": "864-234-8811",
"fax_number": "864-234-8844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORAL SURGERY ASSOCIATES,PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HANCOCK",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "864-234-8811",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "SC",
"license": "1588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.