# CAMDEN ORAL SURGERY & IMPLANT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHEAST ORAL & MAXILLOFACIAL SURGERY CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164990164
- **Legal business name:** NORTHEAST ORAL & MAXILLOFACIAL SURGERY CENTER
- **Authorized official:** DR. STEPHEN CLARY DDS (CEO/ORAL SURGEON)
- **Authorized official phone:** (803) 699-5900

## Contact information

- **Practice address:** 207 E. DEKALB ST., CAMDEN, SC 29020
- **Practice address phone:** (803) 398-9900
- **Practice address fax:** (803) 398-9898
- **Mailing address:** 207 E. DEKALB ST., CAMDEN, SC 29020
- **Mailing address phone:** (803) 398-9900
- **Mailing address fax:** (803) 398-9898

## 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:** 11/07/2018
- **Last updated:** 11/07/2018