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BAREFOOT ORAL AND MAXILLOFACIAL SURGERY LLC NPI 1710377866


NPI Information

NPI: 1710377866
Provider Name: BAREFOOT ORAL AND MAXILLOFACIAL SURGERY LLC

Doing Business As: BAREFOOT ORAL AND FACIAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1203 TWO ISLAND CT
MT PLEASANT, SC
ZIP 29466
Phone: (843) 849-5188
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BAREFOOT ORAL AND MAXILLOFACIAL SURGERY LLC is an oral and maxillofacial surgery dentist in Mt Pleasant, SC. The provider is an oral and maxillofacial surgery dentist specialized in 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. BAREFOOT ORAL AND MAXILLOFACIAL SURGERY LLC NPI is 1710377866. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Barefoot Oral And Facial Surgery.

The provider's business location address is:

1203 TWO ISLAND CT
MT PLEASANT, SC
ZIP 29466-405
Phone: (843) 849-5188
Fax: (843) 849-5186

The provider's authorized official is Matthew Reed Barefoot .
The authorized official title is Owner and has the following contact phone number (843) 849-5188.

The enumeration date for this NPI number is 1/28/2015 and was last updated on 1/28/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery8483SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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