Organization
PORT ROYAL ORAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMONS HANE JR. DMD (CHAIRMAN)
(843) 729-5409
Entity
Organization
Contact information
Practice address
14 MARSHELLEN DR # B, BEAUFORT, SC 29902-6900
(834) 729-5409
Mailing address
14 MARSHELLEN DR # B, BEAUFORT, SC 29902-6900
(843) 729-5409
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
03964
SC
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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