Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162) — for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1043908155
Aos N Main Street
Organization Subpart: NO
Active
NPI Number1043908155
NPI TypeNPI-2 Organization
SpecialtyDentist, Oral and Maxillofacial Surgery
Provider Details
NPI1043908155
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2023-04-26
Last Updated2023-04-26
Authorized OfficialAngie Bazzle
Operations Manager
Phone: 8438710842
Mailing Address1971 N Main St
Summerville, SC 29486-7890
United States
Phone: (843) 871-0842
📍 View Map
Primary Practice Address907 N Main St
Summerville, SC 29483-6632
United States
Phone: (843) 871-0842
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes1223S0112X – Dentist, Oral and Maxillofacial Surgery
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About NPI 1043908155

Aos N Main Street is an organization registered in the CMS NPPES NPI Registry with NPI number 1043908155. The primary specialty listed is Dentist, Oral and Maxillofacial Surgery. The organization is located in Summerville, SC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2023-04-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1043908155?

NPI 1043908155 belongs to Aos N Main Street, a Dentist, Oral and Maxillofacial Surgery in Summerville, SC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1043908155 active?

The current status of NPI 1043908155 in the NPPES registry is Active. The record was last updated on 2023-04-26.

What specialty is NPI 1043908155?

NPI 1043908155 is classified under the taxonomy Dentist, Oral and Maxillofacial Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1043908155?

You can verify NPI 1043908155 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1043908155?

The primary practice address on file for NPI 1043908155 is 907 N Main St, Summerville, SC 29483-6632. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1043908155 issued?

NPI 1043908155 was first issued (enumerated) on 2023-04-26. The NPPES record was last updated on 2023-04-26.

Practice Location Map

Aos N Main Street is located at 907 N Main St, Summerville, SC. Use the map below to find directions or verify the practice location.

📍 907 N Main St, Summerville, SC 29483-6632  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Aos N Main Street. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-14 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162