Organization
SOUTHEASTERN ORAL & MAXILLOFACIAL SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL CHRISTOPHER SHIRLEY DMD (OWNER)
(843) 815-4546
Entity
Organization
Contact information
Practice address
347 RED CEDAR ST, BUILDING 200, BLUFFTON, SC 29910-8906
(843) 815-4546
Mailing address
347 RED CEDAR ST, BUILDING 200, BLUFFTON, SC 29910-8906
(843) 815-4546
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3290
SC
Other
Enumeration date
03/02/2007
Last updated
07/29/2008
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