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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BERKELEY ORAL AND MAXILLOFACIAL SURGERY PA

Active Organization

BERKELEY ORAL AND MAXILLOFACIAL SURGERY PA is a Oral & Maxillofacial Surgery organization located in BONNEAU, South Carolina. NPI 1558486845 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · BONNEAU, SC

Registration Details

NPI Number
1558486845
Provider Type
Organization
NPI Issued
Mar 19, 2007 (19.400547288139 yrs)
Last Updated
Aug 22, 2020
License
3180 (SC)

Practice Information

Address
111 SHELLY ST.
BONNEAU, SC, 294310280
Browse SC providers · Browse ZIP 29431
Phone
8438254131
Fax
8438254136
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.