Hilton Head Oral and Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

1808634OS Issued in SC

Legal business name

HILTON HEAD ORAL AND MAXILLOFACIAL SURGERY

Practice address

35 Bill Fries Drive
BLDG D
Hilton Head Island, SC 29926-2731

Phone

(843) 689-6338

Fax

(843) 689-2155

NPI assigned

May 16, 2006

Last updated

Apr 20, 2008By 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

Mr. Robert Sidney Jones Sr., DMD

Title

President

Phone

(843) 689-6338

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1326090838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BILL FRIES DRIVE",
            "address_2": "BLDG D",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262731",
            "telephone_number": "843-689-6338",
            "fax_number": "843-689-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BILL FRIES DRIVE",
            "address_2": "BLDG D",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262731",
            "telephone_number": "843-689-6338",
            "fax_number": "843-689-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILTON HEAD ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SIDNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-689-6338",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "1808634OS",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "BLN0103573",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9946",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilton Head Hyperbarics
• Hilton Head Imaging
• Hilton Head Island Oral and Maxillofacial Surgery
• Hilton Head Island Plastic Surgery, LLC
• Hilton Head Medical Center LLC (Novant Health Hilton Head Medical Center)
• Hilton Head Pediatric Therapy Center
• Hilton Head Pharmacy
• Hilton Head Psychiatric Clinics, PC
• Hilton Head Radiology Associates
• Hilton Head Regional Physician Group LLC

• 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 Apr 20, 2008; 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.