NPIMap

Organization Active NPI

Faircloth and Bakeman Partnership

Doing business as Aiken Augusta Oral & Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Aiken, SC
National Provider Identifier
1689039869
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
1223S0112X Issued in SC
Legal business name
FAIRCLOTH AND BAKEMAN PARTNERSHIP
Doing business as
Aiken Augusta Oral & Facial Surgery
Practice address
150 Crepe Myrtle Dr
Aiken, SC 29803-7543
Phone
(803) 642-0020
Fax
(803) 643-5617
NPI assigned
Dec 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Ms. Amy Miller
Title
Office Manager
Phone
(803) 642-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 1223S0112X SC Primary

Addresses

Primary practice location

150 Crepe Myrtle Dr
Aiken, SC 29803-7543

Mailing address

150 Crepe Myrtle Dr
Aiken, SC 29803-7543
Phone (803) 642-0020

Other names 1

  • Aiken Augusta Oral & Facial Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

150 Crepe Myrtle Dr
Aiken, SC 29803
Phone (803) 642-0020

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1689039869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CREPE MYRTLE DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037543",
            "telephone_number": "803-642-0020",
            "fax_number": "803-643-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CREPE MYRTLE DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037543",
            "telephone_number": "803-642-0020",
            "fax_number": "803-643-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRCLOTH AND BAKEMAN PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-642-0020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "1223S0112X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aiken Augusta Oral & Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.