Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Berkeley Oral and Maxillofacial Surgery PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1558486845

Berkeley Oral and Maxillofacial Surgery PA is an Oral and Maxillofacial Surgery (Dentist) in Bonneau, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

111 Shelly St
Bonneau, SC 29431-0280
Phone: (843) 825-4131
Fax: (843) 825-4136
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 3180 (SC)

Record details

NPI number1558486845
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Montgomery — Oral Surgeon · (843) 825-4131
NPI enumeratedMarch 19, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 280, Bonneau, SC 29431-0280