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General NPI Number Information
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NPI Number | 1265083315
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Entity Type | Organization
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Legal Business Name | SEA PINES ORAL AND FACIAL SURGERY, PC
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Dates
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Enumeration Date | 09/20/2019
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 1301 FOUNTAIN PARK CIR
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City | BRUNSWICK
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State | GA
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Zip | 31520-4860
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Country | US
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Telephone | 912-254-4450
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Fax | 912-266-8696
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Provider Business Mailing Address
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Address Line | 1301 FOUNTAIN PARK CIR
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City | BRUNSWICK
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State | GA
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Zip | 31520-4860
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Country | US
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Telephone | 912-254-4450
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Fax | 912-266-8696
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD JEREMY HAMMOND
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Credential |
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Telephone | 912-254-4450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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