# UPSTATE ORAL AND MAXILLOFACIAL SURGERY, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UPSTATE ORAL AND MAXILLOFACIAL SURGERY, P.A.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366577389
- **Legal business name:** UPSTATE ORAL AND MAXILLOFACIAL SURGERY, P.A.
- **Authorized official:** DR. WIILIAM P. MILLS JR. DMD (OWNER)
- **Authorized official phone:** (864) 585-3318

## Contact information

- **Practice address:** 280 NORTH GROVE MEDICAL PARK DR., SPARTANBURG, SC 29303-4222
- **Practice address phone:** (864) 585-3318
- **Practice address fax:** (864) 585-4800
- **Mailing address:** 280 NORTH GROVE MEDICAL PARK DRIVE, SPARTANBURG, SC 29303-4222
- **Mailing address phone:** (864) 585-3318
- **Mailing address fax:** (864) 585-4800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2121 | SC | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2143 | SC | — |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 01/06/2011