Courtney W Shelbourne in Charleston - Oral And Maxillofacial Surgery
Courtney W Shelbourne - NPI 1407857428
Courtney W Shelbourne is a Oral And Maxillofacial Surgery in Charleston, South Carolina. Courtney W Shelbourne practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Courtney W Shelbourne is 1407857428. The last update date is 2013-01-25.
Courtney W Shelbourne's current location address is 198 Rutledge Ave, Charleston, South Carolina. You can contact this provider via phone number 8438535859 and fax number 8438535861. The mailing address for Courtney W Shelbourne is 198 Rutledge Ave, Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Courtney W Shelbourne |
|---|---|
| Address | 198 Rutledge Ave, Charleston, South Carolina |
| Phone Number | 8438535859 |
| Fax Number | 8438535861 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1407857428 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2013-01-25 |
Provider Mailing Address Detail
| Address | 198 Rutledge Ave |
|---|---|
| City | Charleston |
| State | South Carolina (SC) |
| Post Code | 294035817 |
| Phone Number | 8438535859 |
| Fax Number | 8438535861 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 3426 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZA9641 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Courtney W Shelbourne by the Centers for Medicare & Medicaid Services?
The Courtney W Shelbourne has been assigned the NPI (National Provider Identifier) 1407857428 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Courtney W Shelbourne is physically located?
The Courtney W Shelbourne is physically situated at the following address: 198 Rutledge Ave, Charleston, SC, 294035817.
What is the Courtney W Shelbourne's specialty and taxonomy code?
The Courtney W Shelbourne's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services assign the 1407857428 to Courtney W Shelbourne?
The Centers for Medicare & Medicaid Services assigned the 1407857428 to Courtney W Shelbourne on 2005-08-02.
When was the information related to Courtney W Shelbourne most recently updated or refreshed?
The details pertaining to the Courtney W Shelbourne, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-01-25.