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Northeast Oral & Maxillofacial — NPI 1407067473, Columbia, SC | NPI Central

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NPI 1407067473

OrganizationActive

Northeast Oral & Maxillofacial

NPI 1407067473 · Oral and Maxillofacial Pathology Dentistry · Columbia, SC

Provider details

NPI number: 1407067473
Entity type: Organization
Primary specialty: Oral and Maxillofacial Pathology DentistryDental Providers
Organization subpart: No
Authorized official: Tricia Lasseter, Insurance Coordinator(803) 699-5900

Specialties & taxonomies

Oral and Maxillofacial Pathology DentistryPrimary1223P0106X
Dental Providers

Practice location

1118 Greenlawn Dr

Columbia, SC 29209-2606

Phone: (803) 695-1118

Approximate (ZIP-level) locationGet directions

More SC providers

Mailing address

1118 Greenlawn Dr

Columbia, SC 29209-2606

Other names (DBA / former)

Other name: Garners Ferry Oral & Maxillofacial Surgery Center

Registry dates

Enumerated: 2007-05-24
Last updated: 2008-08-06

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