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MIDLANDS ORAL AND MAXILLOFACIAL SURGERY
NPI 1386699288
Dentist - Oral and Maxillofacial Surgery in Columbia, SC

Active since May 23, 2006
1755 SAINT JULIAN PL, COLUMBIA, SC 29204(803) 254-2972(803) 799-2151 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Midlands Oral And Maxillofacial Surgery NPPES

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

MIDLANDS ORAL AND MAXILLOFACIAL SURGERY (NPI 1386699288) is a healthcare organization registered as an oral and maxillofacial surgery in Columbia, South Carolina and active in the NPI registry since May 2006. The organization lists Diane M Montes, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1386699288
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMIDLANDS ORAL AND MAXILLOFACIAL SURGERY
Location Address1755 SAINT JULIAN PLColumbia, SC 29204-2409
Mailing Address1755 Saint Julian PlColumbia, SC 29204-2409 · (803) 254-2972 · Fax (803) 799-2151
Phone(803) 254-2972
Fax(803) 799-2151
Organization SubpartNo
Authorized OfficialDiane M MontesInsurance Coordinator · (803) 254-2972
Enumeration DateMay 23, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1386699288 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 · 1788
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.

1755 SAINT JULIAN PL, Columbia, SC 29204
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Other Identifiers 1

MedicaidZA9935SC

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

Other Providers at the Same Location NPPES 4

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

DR. HEATH MCALVIN STEWART D.M.D
Dentist (Oral and Maxillofacial Surgery)
1755 SAINT JULIAN PL
COLUMBIA, SC 29204
Richland County (803) 254-2972
DR. JOSEPH WON-JOON PARK D.M.D
Dentist (Oral and Maxillofacial Surgery)
1755 SAINT JULIAN PL
COLUMBIA, SC 29204
Richland County (803) 254-2972
DR. JAMES LEMON D.M.D
Dentist (Oral and Maxillofacial Surgery)
1755 SAINT JULIAN PL
COLUMBIA, SC 29204
Richland County (803) 254-2972
DR. DAVID BRIAN TEVEPAUGH D.M.D
Dentist (Oral and Maxillofacial Surgery)
1755 SAINT JULIAN PL
COLUMBIA, SC 29204
Richland County (803) 254-2972

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 Midlands Oral And Maxillofacial Surgery's NPI number?

The NPI number for Midlands Oral And Maxillofacial Surgery is 1386699288. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Midlands Oral And Maxillofacial Surgery located?

Midlands Oral And Maxillofacial Surgery is located at 1755 Saint Julian Pl, Columbia, SC 29204. The listed phone number is (803) 254-2972.

What is Midlands Oral And Maxillofacial 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 Midlands Oral And Maxillofacial Surgery was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.