Organization
APEX ORAL SURGERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLOTTE HELENE MARVIL DDS (PRESIDENT)
(443) 827-7677
Entity
Organization
Contact information
Practice address
664 LONG POINT RD UNIT B, UNIT B, MT PLEASANT, SC 29464-8316
(843) 790-4667
(866) 362-1232
Mailing address
664 LONG POINT RD UNIT B, UNIT B, MT PLEASANT, SC 29464-8316
(843) 790-4667
(866) 362-1232
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
8331; 878OS
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205064318
INDIVIDUAL NPI
—
05
—
ZX8331
—
SC
Enumeration date
04/01/2016
Last updated
04/01/2016
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