Palmetto Facial Surgery Center, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3426 Issued in SC

Legal business name

PALMETTO FACIAL SURGERY CENTER, LLC

Practice address

1203 Two Island CT
Suite 102
Mt Pleasant, SC 29466-7405

Phone

(843) 849-5188

Fax

(843) 849-5186

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Carol A. McGlame

Title

Insurance Coordinator

Phone

(843) 849-5188

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Matthew Reed Barefoot, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Mt Pleasant, SC
  • NPI 1659539294
  NPD (past)
• Courtney W Shelbourne, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Charleston, SC
  • NPI 1407857428
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1992924534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 TWO ISLAND CT",
            "address_2": "SUITE 102",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667405",
            "telephone_number": "843-849-5188",
            "fax_number": "843-849-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 TWO ISLAND CT",
            "address_2": "SUITE 102",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667405",
            "telephone_number": "843-849-5188",
            "fax_number": "843-849-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO FACIAL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "MCGLAME",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "843-849-5188",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "3426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9641",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Painter, DMD
• Margaux Palmentiero, RN
• Palmetto Anesthesia Specialists LLC
• Palmetto Assessments and Learning Services
• Palmetto Endoscopy Center - Mt Pleasant LLC
• Palmetto Mt. Pleasant Behavioral Health LLC
• Palmetto Natural Health LLC
• Palmetto Oculoplastics
• Palmetto Ortho of Chas, PA
• Palmetto Podiatry P.a.

• Oral and Maxillofacial Surgery (Dentist) in Mt Pleasant, SC
• Providers in Mt Pleasant, 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 Jun 30, 2008; 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.