Hilton Head Island Oral and Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3907 Issued in SC

Legal business name

HILTON HEAD ISLAND ORAL AND MAXILLOFACIAL SURGERY

Practice address

35 Bill Fries Dr
Hilton Head Island, SC 29926-2730

Phone

(843) 689-6338

NPI assigned

Dec 8, 2009

Last updated

Dec 8, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian Low, D. M. D.NPI 1629138052

Title

Oral and Maxillofacial Surgeon

Phone

(843) 689-6338

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Low, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Hilton Head Island, SC
  • NPI 1629138052
  Authorized official Same address or phone
• Lynn B Fader, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Hilton Head Island, SC
  • NPI 1356393532
  NPD (past)
• Justin Richard Odette, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Hilton Head, SC
  • NPI 1215459987
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1033448758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BILL FRIES DR",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262730",
            "telephone_number": "843-689-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BILL FRIES DR",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262730",
            "telephone_number": "843-689-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILTON HEAD ISLAND ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "LOW",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "843-689-6338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. M. D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "3907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilton Head Gastroenterology, PA
• Hilton Head Health System, L.P. (Hilton Head Hospital)
• Hilton Head Hospital Pro Fee Billing, LLC (Hilton Head Hospital Pro Fee Billing)
• Hilton Head Hyperbarics
• Hilton Head Imaging
• Hilton Head Island Plastic Surgery, LLC
• Hilton Head Medical Center LLC (Novant Health Hilton Head Medical Center)
• Hilton Head Oral and Maxillofacial Surgery
• Hilton Head Pediatric Therapy Center
• Hilton Head Pharmacy

• Oral and Maxillofacial Surgery (Dentist) in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Oral and Maxillofacial Surgery (Dentist) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.