MEDICARE: ORAL SURGERY ASSOCIATES,PA

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	282N00000X	General Acute Care Hospital	1588	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1588	OTHER	SC	LICENSE
2	115	OTHER	SC	SPECIALTY
3	0001588	OTHER	SC	DELTA SC PROVIDER
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598830697
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORAL SURGERY ASSOCIATES,PA

Provider Business Mailing Address
First Line	:	10 ENTERPRISE BLVD STE 209
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-3554
Country	:	US
Telephone Number	:	864-234-8811
Fax Number	:	864-234-8844

Provider Business Practice Location Address
First Line	:	10 ENTERPRISE BLVD STE 209
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-3554
Country	:	US
Telephone Number	:	864-234-8811
Fax Number	:	864-234-8844

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JACK H. HANCOCK
Credential	:	DMD
Telephone Number	:	864-234-8811

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1326913484 — AMERICAN ORTHOPEDICS SURGICAL ASSIST, LLC
Practice Location Address:

10 ENTERPRISE BLVD STE 209
GREENVILLE, SC
29615-3554

Practice Phone: 210-598-4268
Practice Fax:

1669463030 — MS. CAROLINE ROBERTS PRICE MD
Practice Location Address:

10 ENTERPRISE BLVD , STE 207
GREENVILLE, SC
29615-3554

Practice Phone: 864-331-2505
Practice Fax: 864-331-2510

1639187487 — SHERMAN KEVIN BASONG PT, DPT
Practice Location Address:

10 ENTERPRISE BLVD , STE 201
GREENVILLE, SC
29615-3554

Practice Phone: 864-583-0053
Practice Fax:

1154421915 — DR. JUSTIN KELBY HUTCHESON MD MS
Practice Location Address:

10 ENTERPRISE BLVD STE 201
GREENVILLE, SC
29615-3554

Practice Phone: 864-583-2337
Practice Fax: 864-583-0147

1043335219 — DR. MARSHALL JASPER SHULER M.D.
Practice Location Address:

10 ENTERPRISE BLVD STE 202
GREENVILLE, SC
29615-3554

Practice Phone: 864-233-6338
Practice Fax:

1811170178 — PETER G MANOS MD LLC
Practice Location Address:

10 ENTERPRISE BLVD STE 207
GREENVILLE, SC
29615-3554

Practice Phone: 864-458-8980
Practice Fax: 864-458-8984

Directions to “ORAL SURGERY ASSOCIATES,PA ” 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 © 2007-2025 (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.