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CCOFS ORAL SURGERY 2 LLC
NPI 1700491685
Dentist - Oral and Maxillofacial Surgery in Greenville, SC

Active since September 09, 2020
4103 E NORTH ST, GREENVILLE, SC 29615(864) 268-6417(864) 268-3200 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ccofs Oral Surgery 2 Llc NPPES

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

CCOFS ORAL SURGERY 2 LLC (NPI 1700491685) is a healthcare organization registered as an oral and maxillofacial surgery in Greenville, South Carolina and active in the NPI registry since September 2020. The organization lists Jennifer Rayle Hock, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1700491685
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCCOFS ORAL SURGERY 2 LLC
Location Address4103 E NORTH STGreenville, SC 29615-2350
Mailing Address7482 Waterside Crossing Blvd Ste 101Denver, NC 28037-3006 · (704) 295-4653 · Fax (704) 295-4288
Phone(864) 268-6417
Fax(864) 268-3200
Organization SubpartYesParent: Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa
Authorized OfficialJennifer Rayle HockDirector Of Billing · (704) 295-4653
Enumeration DateSeptember 9, 2020
NPPES CertifiedSeptember 9, 2020
✔ NPI 1700491685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.
4103 E NORTH ST, Greenville, SC 29615
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Other Names 1

Other NameCarolinas Center For Oral & Facial Surgery

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

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

DR. JAMES B TANKERSLEY JR. DMD
Oral & Maxillofacial Surgery
4103 E NORTH ST
GREENVILLE, SC 29615
Greenville County (864) 268-6417

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 Ccofs Oral Surgery 2 LLC's NPI number?

The NPI number for Ccofs Oral Surgery 2 LLC is 1700491685. It was assigned to this organization in the NPPES registry on September 9, 2020. The provider is also known as Carolinas Center for Oral & Facial Surgery.

Where is Ccofs Oral Surgery 2 LLC located?

Ccofs Oral Surgery 2 LLC is located at 4103 E North St, Greenville, SC 29615. The listed phone number is (864) 268-6417.

What is Ccofs Oral Surgery 2 LLC'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 Ccofs Oral Surgery 2 LLC was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.