Beaufort Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3628 Issued in SC

Legal business name

BEAUFORT ORTHODONTICS LLC

Practice address

960 Ribaut Rd
Suite 2
Beaufort, SC 29902-5431

Phone

(843) 986-9339

Fax

(843) 524-4468

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. A G Burris

Title

Managing Member

Phone

(843) 986-9339

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396829693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 RIBAUT RD",
            "address_2": "SUITE 2",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025431",
            "telephone_number": "843-986-9339",
            "fax_number": "843-524-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 RIBAUT RD",
            "address_2": "SUITE 2",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025431",
            "telephone_number": "843-986-9339",
            "fax_number": "843-524-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "843-986-9339",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "3628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beaufort Medical Equipment Inc
• Beaufort Medical Imaging Inc
• Beaufort Memorial Hospital - Navy Resource Sharing
• Beaufort OB/GYN Associates PA
• Beaufort Oral and Facial Surgery, LLC
• Beaufort Orthopaedic Sports and Spine Center LLC
• Beaufort Orthopaedic Sports and Spine Center LLC
• Beaufort Pediatrics
• Beaufort Pediatrics, P.a.
• Beaufort Pediatrics, P.a.

• Orthodontics and Dentofacial Orthopedics Dentistry in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.