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Foothills Oral & Facial Surgery, PA — NPI 1104974609, Simpsonville, SC | NPI Central

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NPI 1104974609

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Foothills Oral & Facial Surgery, PA

NPI 1104974609 · Oral and Maxillofacial Surgery (Dentist) · Simpsonville, SC

Provider details

NPI number: 1104974609
Entity type: Organization
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Authorized official: Victor Lebedovych, President
License: 4084 (SC)

Practice location

634 Fairview Rd

Building C

Simpsonville, SC 29680

Phone: (864) 967-4000

More SC providers

Mailing address

634 Fairview Rd

Simpsonville, SC 29680

Registry dates

Enumerated: 2007-01-08
Last updated: 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.