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

Port Royal Oral Surgery PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1437365996

Port Royal Oral Surgery PA is an Oral and Maxillofacial Surgery (Dentist) in Beaufort, 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.

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Practice location Address checks out

14 Marshellen Dr # B
Beaufort, SC 29902-6900
Phone: (834) 729-5409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 03964 (SC)

Record details

NPI number1437365996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Simons Hane — Chairman · (843) 729-5409
NPI enumeratedMay 14, 2007
Last updated in NPPESAugust 22, 2020
Mailing address14 Marshellen Dr # B, Beaufort, SC 29902-6900

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