# FAIRCLOTH AND BAKEMAN PARTNERSHIP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aiken Augusta Oral & Facial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689039869
- **Authorized official:** MS. AMY MILLER (OFFICE MANAGER)
- **Authorized official phone:** (803) 642-0020

## Contact information

- **Practice address:** 150 CREPE MYRTLE DR, AIKEN, SC 29803-7543
- **Practice address phone:** (803) 642-0020
- **Practice address fax:** (803) 643-5617
- **Mailing address:** 150 CREPE MYRTLE DR, AIKEN, SC 29803-7543
- **Mailing address phone:** (803) 642-0020
- **Mailing address fax:** (803) 643-5617

## Taxonomy

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

## Other

- **Enumeration date:** 12/15/2015
- **Last updated:** 12/15/2015