Organization
BERKELEY ORAL AND MAXILLOFACIAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ALBERT MONTGOMERY JR. D.M.D. (ORAL SURGEON)
(843) 825-4131
Entity
Organization
Contact information
Practice address
111 SHELLY ST., BONNEAU, SC 29431-0280
(843) 825-4131
(843) 825-4136
Mailing address
PO BOX 280, BONNEAU, SC 29431-0280
(843) 825-4131
(843) 825-4136
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3180
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790759967
INDIVIDUAL NPI
SC
Enumeration date
03/19/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us