Port Royal Oral Surgery PA
NPI #1437365996 in Beaufort, South Carolina
Provider Information
- NPI Number
- 1437365996
- Entity Type
- Organization
- Organization Name
- Port Royal Oral Surgery PA
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- May 14, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 14 MARSHELLEN DR # B
- City
- Beaufort
- State
- South Carolina
- ZIP Code
- 29902-6900
- Phone
- (834) 729-5409
Authorized Official
- Name
- DR. SIMONS HANE JR., DMD
- Title
- CHAIRMAN
- Phone
- (843) 729-5409
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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