OrganizationActive
Northeast Oral & Maxillofacial Surgery Center
NPI 1700916822 · Oral and Maxillofacial Pathology Dentistry · Columbia, SC
Provider details
- NPI number
- 1700916822
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Evelyn Nitka, Office Manager(803) 699-5900
- License
- 3160 (SC)
Specialties & taxonomies
Dental Providers
Practice location
9310 Two Notch Rd
Columbia, SC 29223-6416
Phone: (803) 699-5900
Fax: (803) 788-9036
Approximate (ZIP-level) locationGet directions
Mailing address
9310 Two Notch Rd
Columbia, SC 29223-6416
Registry dates
- Enumerated
- 2007-03-07
- 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.