FOOTHILLS ORAL & FACIAL SURGERY
NPI 1134549629
Dentist - Oral and Maxillofacial Surgery in Anderson, SC

Q: What is Foothills Oral & Facial Surgery's NPI number?

The NPI number for Foothills Oral & Facial Surgery is 1134549629. It was assigned to this organization in the NPPES registry on April 23, 2014.

Q: What is Foothills Oral & Facial Surgery's specialty?

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

Active since April 23, 2014

301 W BELTLINE BLVD, #301, ANDERSON, SC 29625(864) 967-4000(864) 328-9907 Get Directions Write a Review

NPPES record last updated: April 23, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Foothills Oral & Facial Surgery NPPES

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

FOOTHILLS ORAL & FACIAL SURGERY (NPI 1134549629) is a healthcare organization registered as an oral and maxillofacial surgery in Anderson, South Carolina and active in the NPI registry since April 2014. The organization lists Victor P Lebedovych, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1134549629

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameFOOTHILLS ORAL & FACIAL SURGERY

Location Address301 W BELTLINE BLVD, #301Anderson, SC 29625-1505

Mailing Address301 W Beltline Blvd, #301Anderson, SC 29625-1505 · (864) 967-4000 · Fax (864) 328-9907

Phone(864) 967-4000

Fax(864) 328-9907

Organization SubpartNo

Authorized OfficialVictor P LebedovychPresident/ceo · (864) 967-4000

Enumeration DateApril 23, 2014

✔ NPI 1134549629 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.

301 W BELTLINE BLVD, Anderson, SC 29625

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Other Identifiers 1

Medicaid1223S0112XSC

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

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's NPI number?

The NPI number for Foothills Oral & Facial Surgery is 1134549629. It was assigned to this organization in the NPPES registry on April 23, 2014.

Where is Foothills Oral & Facial Surgery located?

Foothills Oral & Facial Surgery is located at 301 W Beltline Blvd #301, Anderson, SC 29625. The listed phone number is (864) 967-4000.

What is Foothills Oral & Facial Surgery'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 was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.