Organization
HILTON HEAD ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT SIDNEY JONES SR. DMD (PRESIDENT)
(843) 689-6338
Entity
Organization
Contact information
Practice address
35 BILL FRIES DRIVE, BLDG D, HILTON HEAD ISLAND, SC 29926-2731
(843) 689-6338
(843) 689-2155
Mailing address
35 BILL FRIES DRIVE, BLDG D, HILTON HEAD ISLAND, SC 29926-2731
(843) 689-6338
(843) 689-2155
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1808634OS
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
BLN0103573
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9946
—
SC
Enumeration date
05/16/2006
Last updated
04/20/2008
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