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Organization
CHARLESTON ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES LLC
Active
Organization
CHARLESTON ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES LLC
Active
Other names
OMSA
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL H. PORTER DDS (OWNER/ORAL SURGEON)
(214) 728-4858
Entity
Organization
Contact information
Practice address
2344 COSGROVE AVE, CHARLESTON, SC 29405-7644
(843) 554-5003
(843) 745-0003
Mailing address
2344 COSGROVE AVE, CHARLESTON, SC 29405-7644
(214) 728-4858
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
04/22/2026
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