OrganizationActive
Medical University of Sc
NPI 1194026153 · Oral and Maxillofacial Pathology Dentistry · Charleston, SC
Provider details
- NPI number
- 1194026153
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brad Neville, Director of Division of Oral Pathol(843) 792-4496
Specialties & taxonomies
Dental Providers
Practice location
173 Ashley Ave
Charleston, SC 29425-8908
Phone: (843) 792-4495
Fax: (843) 792-3697
Approximate (ZIP-level) locationGet directions
Mailing address
Msc 507 173 Ashley Avenue
Charleston, SC 29425-0001
Other names (DBA / former)
- Other name
- Division of Oral Pathology
- Other name
- Division of Oral Pathology
Registry dates
- Enumerated
- 2010-11-08
- Last updated
- 2020-03-04
- Certified
- 2020-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.