# ORAL SURGERY & IMPLANT ASSOCIATES OF GREENVILLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073744124
- **Authorized official:** DR. JEFFREY JAMES SIMMONS DMD, MD (OWNER)
- **Authorized official phone:** (864) 234-8811

## Contact information

- **Practice address:** 10 ENTERPRISE BLVD, SUITE 209, GREENVILLE, SC 29615-6301
- **Practice address phone:** (864) 234-8811
- **Practice address fax:** (864) 234-8844
- **Mailing address:** 10 ENTERPRISE BLVD, SUITE 209, GREENVILLE, SC 29615-6301
- **Mailing address phone:** (864) 234-8811
- **Mailing address fax:** (864) 234-8844

## 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:** 08/06/2009
- **Last updated:** 08/06/2009