Palmetto Ofs, LLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

8374 Issued in SC

Legal business name

PALMETTO OFS, LLC

Practice address

2849 N Pleasantburg Dr
Greenville, SC 29609-3034

Phone

(864) 714-1800

Fax

(864) 714-1805

NPI assigned

Jan 31, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Brett M. Shigley, DMD, MSNPI 1881934024

Title

Owner

Phone

(864) 714-1800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brett M. Shigley, DMD, MS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Charleston, SC
  • NPI 1881934024
  NPD Authorized official

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1265930697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 AMBERBROOK LN",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294148125",
            "telephone_number": "864-420-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2849 N PLEASANTBURG DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296093034",
            "telephone_number": "864-714-1800",
            "fax_number": "864-714-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO OFS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "SHIGLEY",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-714-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "SC",
            "license": "8374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Palmetto Imaging, Inc
• Palmetto Orthodontics, PA
• Palmetto Periodontics of Greenville PA
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• Palmetto Physical Medicine
• Palmetto Psychological Associates, LLC

• Oral & Maxillofacial Surgery (D.M.D.) in Greenville, SC
• Providers in Greenville, SC by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.