| Southeastern Oral & Maxillofacial Surgery Center Inc | |
|
347 Red Cedar St Building 200 Bluffton SC 29910-8906 | |
| (843) 815-4546 | |
| Not Available |
| Full Name | Southeastern Oral & Maxillofacial Surgery Center Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 347 Red Cedar St, Bluffton, South Carolina |
| Authorized Official Name and Position | Paul Christopher Shirley (OWNER) |
| Authorized Official Contact | 8438154546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Oral & Maxillofacial Surgery Center Inc 347 Red Cedar St Building 200 Bluffton SC 29910-8906 Ph: (843) 815-4546 | Southeastern Oral & Maxillofacial Surgery Center Inc 347 Red Cedar St Building 200 Bluffton SC 29910-8906 Ph: (843) 815-4546 |
| NPI Number | 1265561856 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 07/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265561856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3290 (South Carolina) | Primary |
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