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DENTAL IMPLANT CENTER OF SUMTER
NPI 1083677884
Dentist - Oral and Maxillofacial Surgery in Sumter, SC

Active since April 11, 2006
1210 WILSON HALL RD, SUMTER, SC 29150(803) 905-4404(803) 905-4406 Get Directions Write a Review

NPPES record last updated: January 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dental Implant Center Of Sumter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENTAL IMPLANT CENTER OF SUMTER (NPI 1083677884) is a healthcare organization registered as an oral and maxillofacial surgery in Sumter, South Carolina and active in the NPI registry since April 2006. The organization lists Michael A Mcginnis, Owner, as its authorized official.

NPPES Registry Identity

NPI1083677884
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSUMTER ORAL & MAXILLOFACIAL SURGERY PA
Location Address1210 WILSON HALL RDSumter, SC 29150-1889
Mailing Address1210 Wilson Hall RdSumter, SC 29150-1889 · (803) 905-4404 · Fax (803) 905-4406
Phone(803) 905-4404
Fax(803) 905-4406
Organization SubpartNo
Authorized OfficialMichael A McginnisOwner · (803) 905-4404
Enumeration DateApril 11, 2006
Last NPPES UpdateJanuary 14, 2011
✔ NPI 1083677884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in SC · 474
Definition
An oral and maxillofacial surgery dentist specialized in 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.
Also ListedDentistTaxonomy 122300000X · License 3273 (SC)
1210 WILSON HALL RD, Sumter, SC 29150
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Other Names 1

Doing Business AsDental Implant Center Of Sumter

Other Identifiers 6

MedicaidZA9858SC
Medicare UPINU76737
Medicare ID-Type UnspecifiedU767370281SC
Other872701United Concordia
Other88003121AL · Blue Cross Blue Shield
OtherZDK433MA · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PALMETTO FAMILY AND COSMETIC DENTISTRY IV
Dentist (General Practice)
1210 WILSON HALL RD
SUMTER, SC 29150
Sumter County (803) 877-6703
DR. MICHAEL A MCGINNIS DDS MS
Dentist
1210 WILSON HALL RD
SUMTER, SC 29150
Sumter County (803) 905-4404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sumter Oral & Maxillofacial Surgery PA's NPI number?

The NPI number for Sumter Oral & Maxillofacial Surgery PA is 1083677884. It was assigned to this organization in the NPPES registry on April 11, 2006. The provider is doing business as Dental Implant Center Of Sumter.

Where is Sumter Oral & Maxillofacial Surgery PA located?

Sumter Oral & Maxillofacial Surgery PA is located at 1210 Wilson Hall Rd, Sumter, SC 29150. The listed phone number is (803) 905-4404.

What is Sumter Oral & Maxillofacial Surgery PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Sumter Oral & Maxillofacial Surgery PA was last updated on January 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.