ANDERSON ORAL AND MAXILLOFACIAL SURGERY, PA
NPI 1326173428
Dentist - Oral and Maxillofacial Surgery in Anderson, SC

Q: What is Anderson Oral And Maxillofacial Surgery, PA's specialty?

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

Active since February 22, 2007

1209 ELLA STREET, ANDERSON, SC 29621(864) 226-7503(864) 225-4937 Get Directions Write a Review

NPPES record last updated: December 6, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Anderson Oral And Maxillofacial Surgery, Pa NPPES

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

ANDERSON ORAL AND MAXILLOFACIAL SURGERY, PA (NPI 1326173428) is a healthcare organization registered as an oral and maxillofacial surgery in Anderson, South Carolina and active in the NPI registry since February 2007. The organization lists Lewis Tyler Sumner, Physician/ Owner, as its authorized official.

NPPES Registry Identity

NPI1326173428

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameANDERSON ORAL AND MAXILLOFACIAL SURGERY, PA

Location Address1209 ELLA STREETAnderson, SC 29621

Mailing Address1209 Ella StreetAnderson, SC 29621 · (864) 226-7503 · Fax (864) 225-4937

Phone(864) 226-7503

Fax(864) 225-4937

Organization SubpartNo

Authorized OfficialLewis Tyler SumnerPhysician/ Owner · (864) 226-7503

Enumeration DateFebruary 22, 2007

Last NPPES UpdateDecember 6, 2013

✔ NPI 1326173428 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 · 3483

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.

1209 ELLA STREET, Anderson, SC 29621

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Other Identifiers 3

Medicare ID-Type UnspecifiedU868610281SC

Medicare UPINU86861SC

MedicaidZA9686SC

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 Anderson Oral And Maxillofacial Surgery, PA's NPI number?

The NPI number for Anderson Oral And Maxillofacial Surgery, PA is 1326173428. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Anderson Oral And Maxillofacial Surgery, PA located?

Anderson Oral And Maxillofacial Surgery, PA is located at 1209 Ella Street, Anderson, SC 29621. The listed phone number is (864) 226-7503.

What is Anderson Oral And Maxillofacial 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 Anderson Oral And Maxillofacial Surgery, PA was last updated on December 6, 2013. 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.