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NPI 1043908155

OrganizationActive

Aos N Main Street

NPI 1043908155 · Oral and Maxillofacial Surgery (Dentist) · Summerville, SC

Provider details

NPI number: 1043908155
Entity type: Organization
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Authorized official: Angie Bazzle, Operations Manager

Practice location

907 N Main St

Summerville, SC 29483-6632

Phone: (843) 871-0842

More SC providers

Mailing address

1971 N Main St

Summerville, SC 29486-7890

Registry dates

Enumerated: 2023-04-26
Last updated: 2023-04-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Aos N Main Street — NPI 1043908155, Summerville, SC | NPI Central