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
—
—
Other
Enumeration date
10/24/2018
Last updated
04/22/2026
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