| Coastal Oral Surgery Associates | |
|
110 Office Park Ln Suite 104 Saint Simons Island GA 31522-6601 | |
| (912) 634-6600 | |
| (912) 634-3882 |
| Full Name | Coastal Oral Surgery Associates |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 110 Office Park Ln, Saint Simons Island, Georgia |
| Authorized Official Name and Position | Jeffrey Oliver Capes (OWNER) |
| Authorized Official Contact | 9126346600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Oral Surgery Associates 110 Office Park Ln Suite 104 Saint Simons Island GA 31522-6601 Ph: (912) 634-6600 | Coastal Oral Surgery Associates 110 Office Park Ln Suite 104 Saint Simons Island GA 31522-6601 Ph: (912) 634-6600 |
| NPI Number | 1457735995 |
|---|---|
| Provider Enumeration Date | 07/15/2015 |
| Last Update Date | 07/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457735995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 011515 (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 Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1804 Frederica Rd Ste B, Saint Simons Island, GA 31522 Phone: 912-268-2800 Fax: 912-434-9936 | |
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 |