MEDICARE: ORAL AND MAXILLOFACIAL SURGERY OF ANDERSON,LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	3257	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568538098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORAL AND MAXILLOFACIAL SURGERY OF ANDERSON,LLC

Provider Business Mailing Address
First Line	:	1514 NORTH FANT STREET
Second Line	:
City	:	ANDERSON
State	:	SC
Zip	:	29621-4708
Country	:	US
Telephone Number	:	864-226-8559
Fax Number	:	864-226-8853

Provider Business Practice Location Address
First Line	:	1514 NORTH FANT STREET
Second Line	:
City	:	ANDERSON
State	:	SC
Zip	:	29621-4708
Country	:	US
Telephone Number	:	864-226-8559
Fax Number	:	864-226-8853

Authorized Official
Title or Position	:	ORAL SURGEON
Name	:	DR. WILLIAM S. DUNLAP
Credential	:	DMD
Telephone Number	:	864-226-8559

Provider Enumeration Date	:	11/27/2006
Last Update Date	:	02/29/2008

Similar Medicare Providers

1649316241 — DR. WILLIAM S. DUNLAP JR. DMD
Practice Location Address:

1514 NORTH FANT STREET
ANDERSON, SC
29621-4708

Practice Phone: 864-226-8559
Practice Fax: 864-226-8853

1174666283 — DR. LEONARD EDWARD MCGAHA DDS
Practice Location Address:

1514 N FANT ST
ANDERSON, SC
29621-4708

Practice Phone: 864-226-8559
Practice Fax: 864-226-8853

1285874925 — ANDERSON HEALTH & WELLNESS CENTER LLC
Practice Location Address:

1510 N FANT ST
ANDERSON, SC
29621-4708

Practice Phone: 864-642-9300
Practice Fax: 864-642-9370

1174878342 — PRUITTHEALTH HOSPICE, INC.
Practice Location Address:

1510 N FANT ST
ANDERSON, SC
29621-4708

Practice Phone: 864-226-1219
Practice Fax: 864-226-8730

1134472699 — BEEMER DENTISTRY, PA
Practice Location Address:

1512 N FANT ST
ANDERSON, SC
29621-4708

Practice Phone: 864-622-1313
Practice Fax:

1851630610 — CAROLINAS CENTER FOR ADVANCED MANAGEMENT OF PAIN PA
Practice Location Address:

1506 N FANT ST
ANDERSON, SC
29621-4708

Practice Phone: 864-260-6995
Practice Fax: 864-260-6996

Directions to “ORAL AND MAXILLOFACIAL SURGERY OF ANDERSON,LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.