NPI 1396829693 · live from the CMS NPI Registry
Beaufort Orthodontics LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Beaufort, SC. National Provider Identifier 1396829693, active.
NPI record
| NPI | 1396829693 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 960 Ribaut Rd, Suite 2, Beaufort, SC 29902 |
| Practice phone | 843-986-9339 |
| Enumerated | October 24, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | A Burris, Managing Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 3628 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.