| Coastal Endodontics | |
|
1804 Frederica Rd Ste B Saint Simons Island GA 31522-2044 | |
| (912) 268-2800 | |
| (912) 434-9936 |
| Full Name | Coastal Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1804 Frederica Rd Ste B, Saint Simons Island, 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 Po Box 20067 Saint Simons Island GA 31522-8067 Ph: (912) 268-2800 | Coastal Endodontics 1804 Frederica Rd Ste B Saint Simons Island GA 31522-2044 Ph: (912) 268-2800 |
| NPI Number | 1710382007 |
|---|---|
| Provider Enumeration Date | 10/29/2014 |
| Last Update Date | 10/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710382007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN013079 (Georgia) | Primary |
Md Endodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1804 Frederica Rd Ste B, Saint Simons Island, GA 31522 Phone: 912-268-2800 | |
Coastal Oral Surgery Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Office Park Ln, Suite 104, Saint Simons Island, GA 31522 Phone: 912-634-6600 Fax: 912-634-3882 | |
William L Whatley D.m.d. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2487 Demere Rd, Suite 300, Saint Simons Island, GA 31522 Phone: 912-638-9302 |