Charleston Jaw Surgery
NPI #1437763661 in Charleston, South Carolina
Provider Information
- NPI Number
- 1437763661
- Entity Type
- Organization
- Organization Name
- Charleston Jaw Surgery
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SHELBOURNE & ASSOCIATES ORAL & FACIAL SURGERY
- Primary Specialty
- Oral & Maxillofacial Surgery
- Enumeration Date
- Sep 4, 2020
- Last Updated
- Sep 4, 2020
Practice Location
- Address
- 846 ST. ANDREWS BLVD.
- City
- Charleston
- State
- South Carolina
- ZIP Code
- 29407
- Phone
- (843) 853-5859
Authorized Official
- Name
- ROBERT BENNETT
- Title
- BUSINESS MANAGER
- Phone
- (843) 853-5859
Specialties & Taxonomy Codes
| Specialty |
|---|
| Oral & Maxillofacial Surgery |
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