Organization
ORAL AND MAXILLOFACIAL SURGERY OF ANDERSON,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM S. DUNLAP DMD (ORAL SURGEON)
(864) 226-8559
Entity
Organization
Contact information
Practice address
1514 NORTH FANT STREET, ANDERSON, SC 29621-4708
(864) 226-8559
(864) 226-8853
Mailing address
1514 NORTH FANT STREET, ANDERSON, SC 29621-4708
(864) 226-8559
(864) 226-8853
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3257
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9593
—
SC
Enumeration date
11/27/2006
Last updated
02/29/2008
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