BLUE RIDGE ORAL AND MAXILLOFACIAL SURGERY PA (NPI# 1598173627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598173627 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE ORAL AND MAXILLOFACIAL SURGERY PA |
| Practice Address |
209 E Highland Ave Anderson SC 29621-4711 |
| Practice Telephone | 8432675882 |
| Mailing Telephone | 8432675882 |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |
| Authorized Official Name | ERIC MCGILL BRYANT SR. (PRESIDENT) |
| Authorized Official Telephone | 8432675882 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
209 E HIGHLAND AVE |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-4711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134549629 | Foothills Oral & Facial Surgery | Dentist | 301 W Beltline Blvd, #301, Anderson, SC 29625-1505 | 2014-04-23 |
| 1326173428 | Anderson Oral and Maxillofacial Surgery, Pa | Dentist | 1209 Ella Street, Anderson, SC 29621 | 2007-02-22 |
| 1003978586 | Chris D Kinney | Dentist | 3825 Fairview Dr, Anderson, IN 46013 | 2006-12-14 |
| 1568538098 | Oral and Maxillofacial Surgery of Anderson,llc | Dentist | 1514 North Fant Street, Anderson, SC 29621-4708 | 2006-11-27 |
| 1164492104 | Shad Demar Roundy | Dentist | 1601 Medical Arts Blvd Ste 301, Anderson, IN 46011-3460 | 2006-01-24 |
| 1225011323 | Lewis Tyler Sumner | Dentist | 1209 Ella St, Anderson, SC 29621-4811 | 2005-11-22 |
| 1891172797 | Anderson Oral and Maxillofacial Surgery | Dentist | 1601 Medical Arts Blvd, Suite 3, Anderson, IN 46011-3458 | 2015-04-29 |
| 1457628711 | Chris D. Kinney, D.d.s. P.C. | Dentist | 3825 Fairview Dr, Anderson, IN 46013-4059 | 2011-11-30 |
| 1649316241 | William S. Dunlap Jr. | Dentist | 1514 North Fant Street, Anderson, SC 29621-4708 | 2007-01-30 |
| 1740386242 | Howard H. Mohler Dds Inc | Dentist | 1601 Medical Arts Blvd, Suite 301, Anderson, IN 46011-3458 | 2006-09-15 |
| Find all providers in ANDERSON | ||||
Please comment or provide details below to improve the information on BLUE RIDGE ORAL AND MAXILLOFACIAL SURGERY PA.
| 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.