PH ORAL & MAXILLOFACIAL SURGERY
NPI 1295222503
Oral & Maxillofacial Surgery in Columbia, SC

Q: What is Prisma Health Medical Group-Midlands's NPI number?

The NPI number for Prisma Health Medical Group-Midlands is 1295222503. It was assigned to this organization in the NPPES registry on April 23, 2018. The provider is doing business as Ph Oral & Maxillofacial Surgery.

Q: What is Prisma Health Medical Group-Midlands's specialty?

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

Active since April 23, 2018

3304 FOREST DR, COLUMBIA, SC 29204(803) 434-6565(803) 434-6299 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2022, Jul 16, 2020, Jun 4, 2019 and 2 more (5 updates tracked since 2018).

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About Ph Oral & Maxillofacial Surgery NPPES

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

PH ORAL & MAXILLOFACIAL SURGERY (NPI 1295222503) is a healthcare organization registered as an oral & maxillofacial surgery in Columbia, South Carolina and active in the NPI registry since April 2018. The organization lists Kristi Lawrence, Director Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1295222503

Entity TypeOrganization

Primary Taxonomy204E00000X

Legal Business NamePRISMA HEALTH MEDICAL GROUP-MIDLANDS

Location Address3304 FOREST DRColumbia, SC 29204-4024

Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330

Phone(803) 434-6565

Fax(803) 434-6299

Organization SubpartNo

Authorized OfficialKristi LawrenceDirector Provider Enrollment · (864) 797-6118

Enumeration DateApril 23, 2018

Last NPPES UpdateFebruary 22, 20225 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2022

✔ NPI 1295222503 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.

3304 FOREST DR, Columbia, SC 29204

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Other Names 1

Doing Business AsPh Oral & Maxillofacial Surgery

Other Identifiers 1

MedicaidZA8923SC

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 6

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

JA-REM ENTERPRISES

Clinic/Center (Urgent Care)