South Strand Oral & Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2206 Issued in SC

Legal business name

SOUTH STRAND ORAL & MAXILLOFACIAL SURGERY

Practice address

1729 N Fraser St
Georgetown, SC 29440-6407

Phone

(843) 527-2081

Fax

(843) 520-4821

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kathy E Barnes

Title

Office Manager

Phone

(843) 527-2081

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Brandon Kendall Rinehart, D.M.D.

  • General Practice Dentistry
  • Georgetown, SC
  • NPI 1518275536
  NPD (past)
• William F Rinehart, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Georgetown, SC
  • NPI 1083671507
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700931987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 N FRASER ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294406407",
            "telephone_number": "843-527-2081",
            "fax_number": "843-520-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 N FRASER ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294406407",
            "telephone_number": "843-527-2081",
            "fax_number": "843-520-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH STRAND ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-527-2081",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "2206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9864",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Georgetown, SC
• Providers in Georgetown, 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 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.