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Organization

ASSOCIATES IN ORAL & MAXILLOFACIAL SURGERY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES E. MERCER DDS (PRES)
(803) 781-3321
Entity
Organization

Contact information

Practice address
112 SALUDA RIDGE CT, SUITE 400, WEST COLUMBIA, SC 29169-3460
(803) 781-3321
(803) 781-4406
Mailing address
7033 SAINT ANDREWS RD, SUITE 102, COLUMBIA, SC 29212-1179
(803) 781-3321
(803) 781-4406

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZA9693
SC
Enumeration date
03/29/2007
Last updated
04/18/2011
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