CCOFS ORAL SURGERY I, LLC – NPI #1396397501
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.

CCOFS ORAL SURGERY I, LLC is an oral & maxillofacial surgeon located in GREENVILLE, SC. NPPES has assigned the NPI number 1396397501 to CCOFS ORAL SURGERY I, LLC on July 09, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CCOFS ORAL SURGERY I, LLC below.

NPI Profile for
CCOFS ORAL SURGERY I, LLC

NPI Number
1396397501
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CCOFS ORAL SURGERY I, LLC
Primary location
280 ROCKY SLOPE RD
GREENVILLE, SC 29607-3908
Phone: (864) 751-9972 Fax:
1 Other location(s):
515 Worley Rd
Greenville, SC 29609-3753
Phone: (864) 751-9972
Mailing address
8738 UNIVERSITY CITY BLVD
CHARLOTTE, NC 28213-3558
Phone: (704) 295-4653 Fax:
Organization Subpart
No
Authorized Official
JENNIFER HOCK
RCO MANAGER
Phone: (704) 295-4653
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204E00000X
- Oral & Maxillofacial Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.