# SUMTER ORAL & MAXILLOFACIAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUMTER ORAL & MAXILLOFACIAL SURGERY
- **Other names:** Georgetown Oral & Maxillofacial Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437557121
- **Legal business name:** SUMTER ORAL & MAXILLOFACIAL SURGERY
- **Authorized official:** DR. MICHAEL MCGINNIS DDS,MS (DOCTOR)
- **Authorized official phone:** (843) 485-4081

## Contact information

- **Practice address:** 624 FRONT ST, GEORGETOWN, SC 29440-3624
- **Practice address phone:** (843) 485-4081
- **Practice address fax:** (843) 485-4243
- **Mailing address:** 624 FRONT ST, GEORGETOWN, SC 29440-3624
- **Mailing address phone:** (843) 485-4081
- **Mailing address fax:** (843) 485-4243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3273 | SC | Yes |

## Other

- **Enumeration date:** 12/11/2014
- **Last updated:** 12/11/2014