Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Sumter Oral & Maxillofacial Surgery PA

Organization Dentist · NPI 1083677884

Sumter Oral & Maxillofacial Surgery PA provides Dentist services in Sumter, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1210 Wilson Hall Rd
Sumter, SC 29150-1889 Not confirmed with CMS for 15 years — call before visiting
Phone: (803) 905-4404
Fax: (803) 905-4406
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 474 (SC)
Dentist Taxonomy 122300000X · Licence 3273 (SC)

Record details

NPI number1083677884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael McGinnis — Owner · (803) 905-4404
Other names Dental Implant Center Of Sumter
NPI enumeratedApril 11, 2006
Last updated in NPPESJanuary 14, 2011
Mailing address1210 Wilson Hall Rd, Sumter, SC 29150-1889

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