# BAREFOOT ORAL AND MAXILLOFACIAL SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Barefoot Oral and Facial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710377866
- **Authorized official:** DR. MATTHEW REED BAREFOOT DDS, MD (OWNER)
- **Authorized official phone:** (843) 849-5188

## Contact information

- **Practice address:** 1203 TWO ISLAND CT, MT PLEASANT, SC 29466-7405
- **Practice address phone:** (843) 849-5188
- **Practice address fax:** (843) 849-5186
- **Mailing address:** 1203 TWO ISLAND CT, MT PLEASANT, SC 29466-7405
- **Mailing address phone:** (843) 849-5188
- **Mailing address fax:** (843) 849-5186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 8483 | SC | Yes |

## Other

- **Enumeration date:** 01/28/2015
- **Last updated:** 01/28/2015