EXEMPLAR ORAL SURGERY CENTER
NPI 1124616974
Dentist - Oral and Maxillofacial Surgery in North Charleston, SC

Q: What is Exemplar Oral Surgery Center's NPI number?

The NPI number for Exemplar Oral Surgery Center is 1124616974. It was assigned to this organization in the NPPES registry on January 7, 2021.

Q: What is Exemplar Oral Surgery Center's specialty?

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

Active since January 07, 2021CLIA 42D2322475 · Waiver

4986 CALVIN ST, NORTH CHARLESTON, SC 29418(843) 408-4808(843) 408-4614 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2021, Jun 21, 2021, Jan 7, 2021 (3 updates tracked since 2021).

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About Exemplar Oral Surgery Center NPPES

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

EXEMPLAR ORAL SURGERY CENTER (NPI 1124616974) is a healthcare organization registered as an oral and maxillofacial surgery in North Charleston, South Carolina and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through April 21, 2027 and lists Daniel Leach, Doctor, as its authorized official.

NPPES Registry Identity

NPI1124616974

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameEXEMPLAR ORAL SURGERY CENTER

Location Address4986 CALVIN STNorth Charleston, SC 29418-5902

Mailing Address4986 Calvin StNorth Charleston, SC 29418-5902 · (843) 408-4808 · Fax (843) 408-4614

Phone(843) 408-4808

Fax(843) 408-4614

Organization SubpartNo

Authorized OfficialDaniel LeachDoctor · (843) 408-4808

Enumeration DateJanuary 7, 2021

Last NPPES UpdateJuly 27, 20213 updates tracked since enumeration

NPPES CertifiedJuly 27, 2021

✔ NPI 1124616974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

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.

4986 CALVIN ST, North Charleston, SC 29418

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2322475

Exemplar Oral Surgery Center · North Charleston, SC

Active · expires Apr 21, 2027

CLIA Number42D2322475

Laboratory TypePractitioner Other

Certificate Effective DateApril 22, 2025

Certificate Expiration DateApril 21, 2027

Laboratory DirectorDaniel C. Leach

Laboratory Phone(843) 408-4808

Laboratory LocationExemplar Oral Surgery Center4986 Calvin Street, North Charleston, SC 29418

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SARAH MARKS LEACH D.M.D.

Dentist (Dentist Anesthesiologist)

4986 CALVIN ST
NORTH CHARLESTON, SC 29418

Dorchester County (843) 408-4808

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 Exemplar Oral Surgery Center's NPI number?

The NPI number for Exemplar Oral Surgery Center is 1124616974. It was assigned to this organization in the NPPES registry on January 7, 2021.

Where is Exemplar Oral Surgery Center located?

Exemplar Oral Surgery Center is located at 4986 Calvin St, North Charleston, SC 29418. The listed phone number is (843) 408-4808.

What is Exemplar Oral Surgery Center's specialty?

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

Does Exemplar Oral Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2322475) is associated with this NPI, valid through April 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Exemplar Oral Surgery Center accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and UnitedHealthcare list Exemplar Oral Surgery Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Exemplar Oral Surgery Center was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.