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
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.