Organization
BEAUFORT ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A G BURRIS (MANAGING MEMBER)
(843) 986-9339
Entity
Organization
Contact information
Practice address
960 RIBAUT RD, SUITE 2, BEAUFORT, SC 29902-5431
(843) 986-9339
(843) 524-4468
Mailing address
960 RIBAUT RD, SUITE 2, BEAUFORT, SC 29902-5431
(843) 986-9339
(843) 524-4468
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3628
SC
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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