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PORT ROYAL ORAL SURGERY PA
NPI 1437365996
Dentist - Oral and Maxillofacial Surgery in Beaufort, SC

Active since May 14, 2007
14 MARSHELLEN DR # B, BEAUFORT, SC 29902(834) 729-5409 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Port Royal Oral Surgery Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORT ROYAL ORAL SURGERY PA (NPI 1437365996) is a healthcare organization registered as an oral and maxillofacial surgery in Beaufort, South Carolina and active in the NPI registry since May 2007. The organization lists Simons Hane, Chairman, as its authorized official.

NPPES Registry Identity

NPI1437365996
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NamePORT ROYAL ORAL SURGERY PA
Location Address14 MARSHELLEN DR # BBeaufort, SC 29902-6900
Mailing Address14 Marshellen Dr # BBeaufort, SC 29902-6900 · (843) 729-5409
Phone(834) 729-5409
Organization SubpartNo
Authorized OfficialSimons HaneChairman · (843) 729-5409
Enumeration DateMay 14, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1437365996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in SC · 03964
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
14 MARSHELLEN DR # B, Beaufort, SC 29902
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA THIERRY
Behavior Technician
14 MARSHELLEN DR # B
BEAUFORT, SC 29902
Beaufort County (843) 400-4581
MAKAELA BAYNE
Behavior Technician
14 MARSHELLEN DR # B
BEAUFORT, SC 29902
Beaufort County (843) 400-4581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Port Royal Oral Surgery PA's NPI number?

The NPI number for Port Royal Oral Surgery PA is 1437365996. It was assigned to this organization in the NPPES registry on May 14, 2007.

Where is Port Royal Oral Surgery PA located?

Port Royal Oral Surgery PA is located at 14 Marshellen Dr # B, Beaufort, SC 29902. The listed phone number is (834) 729-5409.

What is Port Royal Oral Surgery PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Port Royal Oral Surgery PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.