Beaufort Oral and Facial Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

8987 Issued in SC

Legal business name

BEAUFORT ORAL AND FACIAL SURGERY, LLC

Practice address

968 Ribaut Rd Ste 3
Beaufort, SC 29902-8002

Phone

(843) 525-0900

Fax

(843) 525-0380

NPI assigned

Sep 28, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Kline, DMD, MD

Title

Owner

Phone

(843) 525-0900

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447769831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 RIBAUT RD STE 3",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299028002",
            "telephone_number": "843-525-0900",
            "fax_number": "843-525-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 RIBAUT RD STE 3",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299028002",
            "telephone_number": "843-525-0900",
            "fax_number": "843-525-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT ORAL AND FACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-525-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "2452",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "8987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Beaufort OB/GYN Associates PA
• Beaufort Orthodontics LLC
• Beaufort Orthopaedic Sports and Spine Center LLC
• Beaufort Orthopaedic Sports and Spine Center LLC
• Beaufort Pediatrics
• Beaufort Pediatrics, P.a.

• Oral and Maxillofacial Surgery (Dentist) in Beaufort, SC
• Providers in Beaufort, 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 Jul 21, 2022; 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.