| Port Royal Oral Surgery Pa | |
|
14 Marshellen Dr # B Beaufort SC 29902-6900 | |
| (834) 729-5409 | |
| Not Available |
| Full Name | Port Royal Oral Surgery Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 14 Marshellen Dr # B, Beaufort, South Carolina |
| Authorized Official Name and Position | Simons Hane (CHAIRMAN) |
| Authorized Official Contact | 8437295409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Royal Oral Surgery Pa 14 Marshellen Dr # B Beaufort SC 29902-6900 Ph: (843) 729-5409 | Port Royal Oral Surgery Pa 14 Marshellen Dr # B Beaufort SC 29902-6900 Ph: (834) 729-5409 |
| NPI Number | 1437365996 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437365996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 03964 (South Carolina) | Primary |
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