# SOUTHEASTERN ORAL & MAXILLOFACIAL SURGERY CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265561856
- **Authorized official:** DR. PAUL CHRISTOPHER SHIRLEY DMD (OWNER)
- **Authorized official phone:** (843) 815-4546

## Contact information

- **Practice address:** 347 RED CEDAR ST, BUILDING 200, BLUFFTON, SC 29910-8906
- **Practice address phone:** (843) 815-4546
- **Mailing address:** 347 RED CEDAR ST, BUILDING 200, BLUFFTON, SC 29910-8906
- **Mailing address phone:** (843) 815-4546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3290 | SC | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 07/29/2008