# CHARLESTON ORAL AND FACIAL SURGERY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHARLESTON ORAL AND FACIAL SURGERY
- **Other names:** Charleston Center for Oral & Facial Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043409063
- **Legal business name:** CHARLESTON ORAL AND FACIAL SURGERY
- **Authorized official:** JACKIE HOLLOWAY (DIRECTOR OF RCM)
- **Authorized official phone:** (854) 200-7970

## Contact information

- **Practice address:** 3700 INGLESIDE BLVD, LADSON, SC 29456-4141
- **Practice address phone:** (843) 762-9028
- **Mailing address:** 3700 INGLESIDE BLVD STE 1, LADSON, SC 29456-4141
- **Mailing address phone:** (843) 762-9028
- **Mailing address fax:** (843) 762-9030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 4006 | SC | Yes |

## Other

- **Enumeration date:** 10/16/2007
- **Last updated:** 07/28/2026