Organization
LEXINGTON FACIAL AND ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK A SCIOSCIA DMD (OWNER)
(803) 951-7343
Entity
Organization
Contact information
Practice address
811 W MAIN ST, SUITE 201, LEXINGTON, SC 29072-2507
(803) 951-7343
(803) 951-2298
Mailing address
811 W MAIN ST, SUITE 201, LEXINGTON, SC 29072-2507
(803) 951-7343
(803) 951-2298
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3307
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9713
—
SC
Enumeration date
07/02/2009
Last updated
07/02/2009
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