Foothills Oral & Facial Surgery, PA
NPI 1104974609 · Oral and Maxillofacial Surgery (Dentist) · Simpsonville, SC
Foothills Oral & Facial Surgery, PA is a Oral and Maxillofacial Surgery (Dentist) organization in Simpsonville, SC (NPI 1104974609).
Provider details
- NPI number
- 1104974609
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Victor Lebedovych, President(864) 967-4000
- License
- 4084 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2020-08-22
Frequently asked questions
- What is Foothills Oral & Facial Surgery, PA's NPI number?
- Foothills Oral & Facial Surgery, PA's National Provider Identifier (NPI) is 1104974609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Foothills Oral & Facial Surgery, PA?
- Foothills Oral & Facial Surgery, PA is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Foothills Oral & Facial Surgery, PA located?
- Foothills Oral & Facial Surgery, PA's practice location on file with NPPES is 634 Fairview Rd, Simpsonville, SC 29680.
- What is Foothills Oral & Facial Surgery, PA's phone number?
- The practice phone number listed in the NPPES registry for Foothills Oral & Facial Surgery, PA is (864) 967-4000.
- Who is the authorized official for Foothills Oral & Facial Surgery, PA?
- The authorized official listed on Foothills Oral & Facial Surgery, PA's NPPES record is Victor Lebedovych, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Foothills Oral & Facial Surgery, PA's NPI active?
- Yes — Foothills Oral & Facial Surgery, PA's NPI (1104974609) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.