NPIMap

Organization Active NPI

Lexington Facial and Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Lexington, SC
National Provider Identifier
1639308349
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
3307 Issued in SC
Legal business name
LEXINGTON FACIAL AND ORAL SURGERY
Practice address
811 W Main St
Suite 201
Lexington, SC 29072-2507
Phone
(803) 951-7343
Fax
(803) 951-2298
NPI assigned
Jul 2, 2009
Last updated
Jul 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Dr. Patrick A Scioscia, DMDNPI 1467411397
Title
Owner
Phone
(803) 951-7343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 3307 SC Primary

Addresses

Primary practice location

811 W Main St
Suite 201
Lexington, SC 29072-2507

Mailing address

811 W Main St
Suite 201
Lexington, SC 29072-2507
Phone (803) 951-7343

Other identifiers 1

IdentifierTypeStateIssuer
ZA9713MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1639308349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W MAIN ST",
            "address_2": "SUITE 201",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722507",
            "telephone_number": "803-951-7343",
            "fax_number": "803-951-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W MAIN ST",
            "address_2": "SUITE 201",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722507",
            "telephone_number": "803-951-7343",
            "fax_number": "803-951-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON FACIAL AND ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "SCIOSCIA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-951-7343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "3307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9713",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.