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Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.A.

Oral and Maxillofacial Surgery (Dentist) in Easley, SC · enumerated 2007 · authorized official Samer Joudeh, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770707887

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Registry record

Entity type Organization (Type 2)
Legal business name Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.A.
Practice address 227 S Pendleton St, Suite A, Easley, SC, 29640
Fax (864) 855-0390
Enumeration date Apr 12, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Primary

Authorized official

Name Samer Joudeh
Title Owner

Other identifiers

Identifier Type State Issuer
ZZ1503 Medicaid SC -
ZX3518 Medicaid SC -
1730197641 Other SC NPI SAMER A. JOUDEH
ZG1698 Medicaid SC -
1629182506 Other SC NPI W. MICHAEL RIDDLE
1780769307 Other SC NPI S. ANTHONY BOWIE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.A. located?
The practice location on file with NPPES is in Easley, SC.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.