FOOTHILLS ORAL & FACIAL SURGERY, PA
NPI 1104974609
Dentist - Oral and Maxillofacial Surgery in Simpsonville, SC
NPI Status: Active since January 08, 2007
Contact Information
634 FAIRVIEW RD
BUILDING C
SIMPSONVILLE, SC
ZIP 29680
Phone: (864) 967-4000
- Organization
- Dentist
- Oral and Maxillofacial Surgery
- Accepts Insurance
About FOOTHILLS ORAL & FACIAL SURGERY, PA
This page provides the complete NPI Profile along with additional information for Foothills Oral & Facial Surgery, Pa, a provider established in Simpsonville, South Carolina operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1104974609 assigned on January 2007. The practitioner's primary taxonomy code is 1223S0112X with license number 4084 (SC). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Victor Lebedovych Dds (President)
- NPI
- 1104974609
- Provider Name
- FOOTHILLS ORAL & FACIAL SURGERY, PA
- Entity Type
- Organization
- Location Address
- 634 FAIRVIEW RD BUILDING C SIMPSONVILLE, SC 29680
- Location Phone
- (864) 967-4000
- Mailing Address
- 634 FAIRVIEW RD BUILDING C SIMPSONVILLE, SC 29680
- Mailing Phone
- (864) 967-4000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-08-2007
- Last Update Date
- 08-22-2020
- Code Navigator
A dentist like Foothills Oral & Facial Surgery, Pa is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License No.
- 4084
- License State
- SC
- Taxonomy Description
- An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
- BlueEssentials Bronze 6 - EPO
- BlueEssentials Catastrophic 1 - EPO
- BlueEssentials Gold 1 - EPO
- BlueEssentials Gold 5 - EPO
- BlueEssentials Silver 14 - EPO
- BlueEssentials Silver 14 + Adult Vision - EPO
- BlueEssentials Silver 39 - EPO
- BlueEssentials Standard Expanded Bronze - EPO
- BlueEssentials Standard Gold - EPO
- BlueEssentials Standard Silver - EPO
- BlueExtend PPO HD Bronze 1 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 9 | 7 | 4 | 6 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 18 | 7 | 8 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 8 + 7 + 8 + 6 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1104974609 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104849314 | DR. VICTOR PAUL LEBEDOVYCH DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 634 FAIRVIEW RD BUILDING C SIMSPNVILLE, SC 29680 (864) 967-4000 |
| 1033518642 | ADJUST TO LIFE CHIROPRACTIC LLC Organization | Chiropractor | 634 FAIRVIEW RD SUITE 2 SIMPSONVILLE, SC 29680 (864) 305-1009 |
| 1265006811 | JULIE ANN GRIFFIN FNP-C Individual | Nurse Practitioner (Family) | 634 FAIRVIEW RD SIMPSONVILLE, SC 29680 (864) 757-9720 |
| 1619651288 | LILLIAN TURNAGE PACK Individual | Nurse Practitioner (Adult Health) | 634 FAIRVIEW RD SIMPSONVILLE, SC 29680 (864) 621-0238 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104974609, enumerated in the NPI registry as an "organization" on January 08, 2007
The provider is located at 634 Fairview Rd Building C Simpsonville, Sc 29680 and the phone number is (864) 967-4000
This medical organization specializes in Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery
The provider might be accepting Accepts: BlueCross BlueShield of South Carolina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 08, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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