# EXEMPLAR ORAL SURGERY CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1124616974
- **Authorized official:** DR. DANIEL LEACH DMD (DOCTOR)
- **Authorized official phone:** (843) 408-4808

## Contact information

- **Practice address:** 4986 CALVIN ST, NORTH CHARLESTON, SC 29418-5902
- **Practice address phone:** (843) 408-4808
- **Practice address fax:** (843) 408-4614
- **Mailing address:** 4986 CALVIN ST, NORTH CHARLESTON, SC 29418-5902
- **Mailing address phone:** (843) 408-4808
- **Mailing address fax:** (843) 408-4614

## 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:** 01/07/2021
- **Last updated:** 07/27/2021