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GREENVILLE ORAL MAXILLOFACIAL SURGERY, P.A., A SOUTH CAROLINA PROFESSI
NPI 1184506693
Oral & Maxillofacial Surgery in Summerville, SC

Active since July 24, 2025
403 W 4TH NORTH ST UNIT A, SUMMERVILLE, SC 29483(843) 821-7583 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Greenville Oral Maxillofacial Surgery, P.a., A South Carolina Professi NPPES

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

GREENVILLE ORAL MAXILLOFACIAL SURGERY, P.A., A SOUTH CAROLINA PROFESSI (NPI 1184506693), doing business as Summerville Oral Surgery, is a healthcare organization registered as an oral & maxillofacial surgery in Summerville, South Carolina and active in the NPI registry since July 2025. The organization lists Tina A Hicks, Billing, as its authorized official.

NPPES Registry Identity

NPI1184506693
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameGREENVILLE ORAL MAXILLOFACIAL SURGERY, P.A., A SOUTH CAROLINA PROFESSI
Location Address403 W 4TH NORTH ST UNIT ASummerville, SC 29483-6552
Mailing Address403 W 4th North St Unit ASummerville, SC 29483-6552
Phone(843) 821-7583
Organization SubpartYes
Authorized OfficialTina A HicksBilling · (864) 216-7924
Enumeration DateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1184506693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
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.
403 W 4TH NORTH ST UNIT A, Summerville, SC 29483
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Other Names 1

Doing Business AsSummerville Oral Surgery

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 Greenville Oral Maxillofacial Surgery, P.A., A South Carolina Professi's NPI number?

The NPI number for Greenville Oral Maxillofacial Surgery, P.A., A South Carolina Professi is 1184506693. It was assigned to this organization in the NPPES registry on July 24, 2025. The provider is doing business as Summerville Oral Surgery.

Where is Greenville Oral Maxillofacial Surgery, P.A., A South Carolina Professi located?

Greenville Oral Maxillofacial Surgery, P.A., A South Carolina Professi is located at 403 W 4th North St Unit A, Summerville, SC 29483. The listed phone number is (843) 821-7583.

What is Greenville Oral Maxillofacial Surgery, P.A., A South Carolina Professi's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Greenville Oral Maxillofacial Surgery, P.A., A South Carolina Professi was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.