NPI 1124554142 · live from the CMS NPI Registry
Foster Orthodontics, PA
Dentist, Orthodontics and Dentofacial Orthopedics in Beaufort, SC. National Provider Identifier 1124554142, active.
NPI record
| NPI | 1124554142 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1055 Ribaut Road Building 20 Ste A, Beaufort, SC 29902 |
| Practice phone | 843-524-6363 |
| Enumerated | May 11, 2017 |
| Last updated | December 1, 2021 |
| Authorized official | Jennifer Snow, Credentialing Coordinator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.