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NORTHEAST ORAL & MAXILLOFACIAL SURGERY CENTER
NPI 1700916822
Dentist - Oral and Maxillofacial Pathology in Columbia, SC

Active since March 07, 2007
9310 TWO NOTCH RD, COLUMBIA, SC 29223(803) 699-5900(803) 788-9036 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northeast Oral & Maxillofacial Surgery Center NPPES

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

NORTHEAST ORAL & MAXILLOFACIAL SURGERY CENTER (NPI 1700916822) is a healthcare organization registered as an oral and maxillofacial pathology in Columbia, South Carolina and active in the NPI registry since March 2007. The organization lists Evelyn Nitka, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1700916822
Entity TypeOrganization
Primary Taxonomy1223P0106X
Legal Business NameNORTHEAST ORAL & MAXILLOFACIAL SURGERY CENTER
Location Address9310 TWO NOTCH RDColumbia, SC 29223-6416
Mailing Address9310 Two Notch RdColumbia, SC 29223-6416 · (803) 699-5900 · Fax (803) 788-9036
Phone(803) 699-5900
Fax(803) 788-9036
Organization SubpartNo
Authorized OfficialEvelyn NitkaOffice Manager · (803) 699-5900
Enumeration DateMarch 7, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1700916822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in SC · 3160
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
9310 TWO NOTCH RD, Columbia, SC 29223
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Other Identifiers 1

MedicaidZA9919SC

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 3

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

DR. JEFFREY DOOTSON DMD
Dentist (Oral and Maxillofacial Surgery)
9310 TWO NOTCH RD
COLUMBIA, SC 29223
Richland County (803) 699-5900
DR. JONATHAN BEAN D.M.D.
Oral & Maxillofacial Surgery
9310 TWO NOTCH RD
COLUMBIA, SC 29223
Richland County (803) 699-5900
DR. STEPHEN EDWARD CLARY DDS
Dentist (Oral and Maxillofacial Surgery)
9310 TWO NOTCH RD, NORTHEAST ORAL SURGERY
COLUMBIA, SC 29223
Richland County (803) 699-5900

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 Northeast Oral & Maxillofacial Surgery Center's NPI number?

The NPI number for Northeast Oral & Maxillofacial Surgery Center is 1700916822. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Northeast Oral & Maxillofacial Surgery Center located?

Northeast Oral & Maxillofacial Surgery Center is located at 9310 Two Notch Rd, Columbia, SC 29223. The listed phone number is (803) 699-5900.

What is Northeast Oral & Maxillofacial Surgery Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

When was this NPI record last updated?

The NPPES record for Northeast Oral & Maxillofacial Surgery Center was last updated on August 22, 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.