# AOS N MAIN STREET

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Access Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043908155
- **Authorized official:** ANGIE BAZZLE (OPERATIONS MANAGER)
- **Authorized official phone:** (843) 871-0842

## Contact information

- **Practice address:** 907 N MAIN ST, SUMMERVILLE, SC 29483-6632
- **Practice address phone:** (843) 871-0842
- **Mailing address:** 1971 N MAIN ST, SUMMERVILLE, SC 29486-7890
- **Mailing address phone:** (843) 871-0842

## Taxonomy

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

## Other

- **Enumeration date:** 04/26/2023
- **Last updated:** 04/26/2023