Organization
CHARLESTON ORAL AND FACIAL SURGERY, INC.
Active
Parent organization
CHARLESTON ORAL AND FACIAL SURGERY
Other names
Charleston Center for Oral & Facial Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLESTON ORAL AND FACIAL SURGERY
Authorized official
JACKIE HOLLOWAY (DIRECTOR OF RCM)
(854) 200-7970
Entity
Organization
Contact information
Practice address
3700 INGLESIDE BLVD, LADSON, SC 29456-4141
(843) 762-9028
Mailing address
3700 INGLESIDE BLVD STE 1, LADSON, SC 29456-4141
(843) 762-9028
(843) 762-9030
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4006
SC
Other
Enumeration date
10/16/2007
Last updated
11/24/2025
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