Organization
ORAL AND MAXILLOFACIAL SURGERY ASSOC.PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES KEITH COX DDS (ORAL SURGEON)
(864) 591-3500
Entity
Organization
Contact information
Practice address
1325 DRAYTON RD, SPARTANBURG, SC 29307-5106
(864) 591-3500
(864) 591-2235
Mailing address
1325 DRAYTON RD, SPARTANBURG, SC 29307-5106
(864) 591-3500
(864) 591-2235
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3039
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z30395
—
SC
Enumeration date
05/14/2007
Last updated
07/13/2007
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