CCOFS ORAL SURGERY I, LLC (NPI# 1396397501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396397501 |
| Entity Type | Organization |
| Organization Name | CCOFS ORAL SURGERY I, LLC |
| Practice Address |
280 Rocky Slope Rd Greenville SC 29607-3908 |
| Mailing Address |
8738 University City Blvd Charlotte NC 28213-3558 |
| Practice Telephone | 8647519972 |
| Mailing Telephone | 7042954653 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Authorized Official Name | MRS. JENNIFER RAYLE HOCK (RCO MANAGER) |
| Authorized Official Telephone | 7042954653 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Carolinas Center for Oral & Facial Surgery | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 515 Worley Rd, Greenville, SC 296093753 | 8647519972 |
| Street Address |
280 ROCKY SLOPE RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29607-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982628467 | Mary Charles Haigler | Dentist | 280 Rocky Slope Rd, Greenville, SC 29607-3908 | 2006-07-27 |
| 1306401948 | Carolinas Center for Dental Implants | Dentist | 280 Rocky Slope Rd, Greenville, SC 29607-3908 | 2019-05-09 |
| 1851730634 | Ashley Cannon Tankersley | Dentist | 280 Rocky Slope Rd, Greenville, SC 29607-3908 | 2013-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846138 | Personalized Home Care Services | Technician | 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 | 2020-09-16 |
| 1396361960 | Complete Homecare of America, Inc. | In Home Supportive Care | 128 Millport Circle, Suite 200, Greenville, SC 29607 | 2020-06-19 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| 1861047037 | Susannah Long | Marriage & Family Therapist | 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 | 2019-08-05 |
| 1043872369 | Cheryl Craig Rosemond | Case Manager/Care Coordinator | 5 Century Drive, Suite 130, Greenville, SC 29607 | 2019-07-08 |
| 1457916561 | After Hours Chiropractic LLC | Chiropractor | 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 | 2019-05-03 |
| 1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
| 1124502307 | Martha Irby | Home Health Aide | 2320 E North St Rr 107, Greenville, SC 29607 | 2018-09-24 |
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1083113963 | Caroline Graham | Nurse Practitioner | 850 S Pleasantburg Dr, Greenville, SC 29607 | 2018-02-06 |
| Find all providers in zip 29607 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265930697 | Palmetto Ofs, LLC | Oral & Maxillofacial Surgery | 2849 N Pleasantburg Dr, Greenville, SC 29609-3034 | 2018-01-31 |
| 1790720043 | James B Tankersley Jr. | Oral & Maxillofacial Surgery | 4103 E North St, Greenville, SC 29615 | 2006-06-19 |
| 1831512359 | Premier Interventional Pain of Mississippi LLC | Oral & Maxillofacial Surgery | 1400 E Union St, Greenville, MS 38703-3246 | 2014-02-04 |
| 1033400197 | Premier Anesthesia of Mississippi LLC | Oral & Maxillofacial Surgery | 1400 E Union St, Greenville, MS 38703-3246 | 2011-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1730602319 | Shelbourne & Associates Oral and Facial Surgery | Oral & Maxillofacial Surgery | 198 Rutledge Ave Ste 4, Charleston, SC 29403-5834 | 2017-07-25 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1659543148 | Robert L. Coles, Dmd | Oral & Maxillofacial Surgery | 15b Winchester Ct, Mauldin, SC 29662-2626 | 2008-03-25 |
| 1174666283 | Leonard Edward Mcgaha | Oral & Maxillofacial Surgery | 1514 N Fant St, Anderson, SC 29621-4708 | 2007-02-15 |
| 1376642710 | Harry Clinton Belk Jr. | Oral & Maxillofacial Surgery | 115 Powell Mill Road, Spartanburg, SC 29301 | 2006-09-22 |
| 1912019001 | Jonna J Moreschi | Oral & Maxillofacial Surgery | 1021 Maxwell Mill Road, Suite #e, Fort Mill, SC 29708 | 2006-08-31 |
| 1588629638 | Philip M Prickett | Oral & Maxillofacial Surgery | 1311 Chuck Dawley Blvd, Suite 101, Mt Pleasant, SC 29464-7303 | 2006-04-20 |
| 1497729396 | Jeffrey H Wallen | Oral & Maxillofacial Surgery | 1200 48th Ave N, Suite 101, Myrtle Beach, SC 29577-5425 | 2006-02-15 |
| 1295222503 | Prisma Health Medical Group-midlands | Oral & Maxillofacial Surgery | 3304 Forest Dr, Columbia, SC 29204-4024 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 29607 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.