Berkeley Oral And Maxillofacial Surgery Pa
LBN: Berkeley Oral And Maxillofacial Surgery Pa
Berkeley Oral And Maxillofacial Surgery Pa is an health care organization with primary practice located at 111 Shelly St. , Bonneau SC 29431-0280. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Berkeley Oral And Maxillofacial Surgery Pa can be contacted via phone (843) 825-4131, or through Montgomery, James Albert via phone (843) 825-4131.
Contact Information
Primary practice address
111 Shelly St.
Bonneau SC 29431-0280
Phone: (843) 825-4131
Fax: (843) 825-4136
Website:
Authorized official contact:
Name: Montgomery, James Albert Doctor of Dental Medicine (DMD)
Phone: (843) 825-4131
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 3180 | South Carolina |
Profile Details
| NPI number | 1558486845 |
|---|---|
| LBN Legal business name | Berkeley Oral And Maxillofacial Surgery Pa |
| DBA Doing business as | |
| Authorized official | Montgomery, James Albert Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558486845 | NPPES |
| South Carolina | Other | 1790759967 | INDIVIDUAL NPI |
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