Beaufort Family Dentistry VSM LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BEAUFORT FAMILY DENTISTRY VSM LLC

Practice address

1274 Ribaut Rd
Beaufort, SC 29902-6187

Phone

(843) 524-6363

NPI assigned

Mar 6, 2017

Last updated

Mar 6, 2017By 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

Jennifer Snow

Title

Credentialing Coordinator

Phone

(404) 410-1340

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1750821088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026187",
            "telephone_number": "843-524-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026187",
            "telephone_number": "843-524-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT FAMILY DENTISTRY VSM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "404-410-1340"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beaufort Dermatology PC
• Beaufort Emergency Medicine, PA
• Beaufort ENT & Allergy LLC
• Beaufort Family Care LLC
• Beaufort Family Care, LLC
• Beaufort Family Medicine PA
• Beaufort Family Medicine, PA
• Beaufort Gastroenterology
• Beaufort Internal Medicine LLC
• Beaufort Jasper Hampton Comprehensive Health Services, Inc (Port Royal OB/GYN)

• General Practice Dentistry in Beaufort, SC
• Providers in Beaufort, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.