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FOOTHILLS ORAL & FACIAL SURGERY, PA
NPI 1104974609
Dentist - Oral and Maxillofacial Surgery in Simpsonville, SC

Active since January 08, 2007
634 FAIRVIEW RD, BUILDING C, SIMPSONVILLE, SC 29680(864) 967-4000 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Foothills Oral & Facial Surgery, Pa NPPES

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

FOOTHILLS ORAL & FACIAL SURGERY, PA (NPI 1104974609) is a healthcare organization registered as an oral and maxillofacial surgery in Simpsonville, South Carolina and active in the NPI registry since January 2007. The organization lists Victor Lebedovych, President, as its authorized official.

NPPES Registry Identity

NPI1104974609
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameFOOTHILLS ORAL & FACIAL SURGERY, PA
Location Address634 FAIRVIEW RD, BUILDING CSimpsonville, SC 29680
Mailing Address634 Fairview Rd, Building CSimpsonville, SC 29680 · (864) 967-4000
Phone(864) 967-4000
Organization SubpartNo
Authorized OfficialVictor LebedovychPresident · (864) 967-4000
Enumeration DateJanuary 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104974609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in SC · 4084
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.
634 FAIRVIEW RD, Simpsonville, SC 29680
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

ADJUST TO LIFE CHIROPRACTIC LLC
Chiropractor
634 FAIRVIEW RD, SUITE 2
SIMPSONVILLE, SC 29680
Greenville County (864) 305-1009
DR. VICTOR PAUL LEBEDOVYCH DDS
Dentist (Oral and Maxillofacial Surgery)
634 FAIRVIEW RD, BUILDING C
SIMSPNVILLE, SC 29680
Greenville County (864) 967-4000

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 Foothills Oral & Facial Surgery, PA's NPI number?

The NPI number for Foothills Oral & Facial Surgery, PA is 1104974609. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Foothills Oral & Facial Surgery, PA located?

Foothills Oral & Facial Surgery, PA is located at 634 Fairview Rd Building C, Simpsonville, SC 29680. The listed phone number is (864) 967-4000.

What is Foothills Oral & Facial 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 Foothills Oral & Facial Surgery, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.