| Coastal Endodontics | |
|
111 E Mills Ave Hinesville GA 31313-2616 | |
| (912) 463-4405 | |
| (912) 463-4939 |
| Full Name | Coastal Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 111 E Mills Ave, Hinesville, Georgia |
| Authorized Official Name and Position | Christopher Lea (OWNER) |
| Authorized Official Contact | 9127565960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Endodontics 111 E Mills Ave Hinesville GA 31313-2616 Ph: (912) 463-4405 | Coastal Endodontics 111 E Mills Ave Hinesville GA 31313-2616 Ph: (912) 463-4405 |
| NPI Number | 1346644176 |
|---|---|
| Provider Enumeration Date | 10/22/2014 |
| Last Update Date | 10/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346644176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN013079 (Georgia) | Primary |
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