BEAUFORT ORAL AND FACIAL SURGERY, LLC (NPI# 1447769831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447769831 |
| Entity Type | Organization |
| Organization Name | BEAUFORT ORAL AND FACIAL SURGERY, LLC |
| Practice Address |
968 Ribaut Rd Ste 3 Beaufort SC 29902-8002 |
| Practice Telephone | (843) 525-0900 |
| Practice Fax Number | 8435250380 |
| Mailing Telephone | 8435250900 |
| Mailing Fax Number | 8435250380 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |
| Authorized Official Name | DR. PATRICK KLINE (OWNER) |
| Authorized Official Telephone | 8435250900 |
| Authorized Official Credential | DMD, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
2452 | SC | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
8987 | SC | Dental Providers |
| Street Address |
968 RIBAUT RD STE 3 |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902-8002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| Find all providers in zip 29902 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437365996 | Port Royal Oral Surgery Pa | Dentist | 14 Marshellen Dr # B, Beaufort, SC 29902-6900 | 2007-05-14 |
| 1184695355 | Aaron Partha Sarathy | Dentist | 225 Distant Island Dr, Beaufort, SC 29907-1558 | 2006-01-27 |
| 1043574114 | Matthew Sherban | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2012-07-03 |
| 1588728646 | Judd Ellis Partridge | Dentist | 1 Pinckney Blvd, Department of Oral Maxillofacial Surgery, Beaufort, SC 29902-6122 | 2006-12-21 |
| 1457469736 | Stephen Wilson Ferry | Dentist | 968 Ribaut Road, Suite 3, Beaufort, SC 29902 | 2006-08-28 |
| 1174509319 | Donald Marvin Phillips Jr. | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356963508 | Clements Ferry Dentistry LLC | Dentist | 1951 Clements Ferry Rd Ste 201, Charleston, SC 29492-8325 | 2020-05-11 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1417309956 | Marian Mitchell Oliver Corp. | Dentist | 939 Jc Calhoun Drive, Orangeburg, SC 29115 | 2016-07-08 |
| 1205290764 | Sloan Rehder | Dentist | 2051 Sam Rittenberg Blvd, Charleston, SC 29407-4683 | 2016-04-11 |
| 1689039869 | Faircloth and Bakeman Partnership | Dentist | 150 Crepe Myrtle Dr, Aiken, SC 29803-7543 | 2015-12-15 |
| 1679954705 | Coafs Lab | Dentist | 125 Wappoo Creek Dr Ste C1, Charleston, SC 29412-2161 | 2015-06-15 |
| 1952798357 | Now Or Never 2011, LLC | Dentist | 2270 Ashley Crossing Dr Ste 175, Charleston, SC 29414-5863 | 2015-04-23 |
| 1922499011 | Chapin Oral and Maxillofacial Surgery, LLC | Dentist | 112 St. Peter's Church Road, Chapin, SC 29036 | 2015-02-10 |
| 1437557121 | Sumter Oral & Maxillofacial Surgery | Dentist | 624 Front St, Georgetown, SC 29440-3624 | 2014-12-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BEAUFORT ORAL AND FACIAL SURGERY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.