Golden Isles Pediatric Dentistry | |
2475 Village Dr Suite 114 Kingsland GA 31548-6728 | |
(912) 882-4040 | |
(912) 882-3514 |
Full Name | Golden Isles Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 2475 Village Dr, Kingsland, Georgia |
Authorized Official Name and Position | Patricia Dunn (PRESIDENT/CEO) |
Authorized Official Contact | 9128824040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Golden Isles Pediatric Dentistry 2475 Village Dr Suite 114 Kingsland GA 31548-6728 Ph: (912) 882-4040 | Golden Isles Pediatric Dentistry 2475 Village Dr Suite 114 Kingsland GA 31548-6728 Ph: (912) 882-4040 |
NPI Number | 1598140600 |
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Provider Enumeration Date | 07/30/2015 |
Last Update Date | 07/30/2015 |
Identifier | Type | State | Issuer |
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1598140600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | DN012985 (Georgia) | Primary |