Aaron M. Bliley DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3973 Issued in SC

Legal business name

AARON M. BLILEY DMD LLC

Practice address

17A Marshellen Dr
Beaufort, SC 29902-6900

Phone

(843) 524-9020

Fax

(843) 524-9525

NPI assigned

Jan 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Aaron Matthew Bliley, D.M.D.NPI 1366638462

Title

Owner

Phone

(843) 524-9020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aaron M Bliley, D.M.D.

  • General Practice Dentistry
  • Beaufort, SC
  • NPI 1366638462

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1235375676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17A MARSHELLEN DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026900",
            "telephone_number": "843-524-9020",
            "fax_number": "843-524-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17A MARSHELLEN DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026900",
            "telephone_number": "843-524-9020",
            "fax_number": "843-524-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON M. BLILEY DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "BLILEY",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-524-9020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3973",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Community Caring for Children
• Daunis Adelsa Aboaba, M.D.
• Kristen Absalon, DPT
• Eric Mark Acoba, PT
• Acs Emergency Physicians of SC PC
• Savannah Adams

• All providers in Beaufort, SC
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.