Organization
ORAL SURGERY & IMPLANT ASSOCIATES OF GREENVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY JAMES SIMMONS DMD, MD (OWNER)
(864) 234-8811
Entity
Organization
Contact information
Practice address
10 ENTERPRISE BLVD, SUITE 209, GREENVILLE, SC 29615-6301
(864) 234-8811
(864) 234-8844
Mailing address
10 ENTERPRISE BLVD, SUITE 209, GREENVILLE, SC 29615-6301
(864) 234-8811
(864) 234-8844
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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