| Sea Pines Oral And Facial Surgery, Pc | |
|
1301 Fountain Park Cir Brunswick GA 31520-4860 | |
| (912) 254-4450 | |
| (912) 266-8696 |
| Full Name | Sea Pines Oral And Facial Surgery, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1301 Fountain Park Cir, Brunswick, Georgia |
| Authorized Official Name and Position | Richard Jeremy Hammond (OFFICER) |
| Authorized Official Contact | 3029839707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Pines Oral And Facial Surgery, Pc 1301 Fountain Park Cir Brunswick GA 31520-4860 Ph: (912) 254-4450 | Sea Pines Oral And Facial Surgery, Pc 1301 Fountain Park Cir Brunswick GA 31520-4860 Ph: (912) 254-4450 |
| NPI Number | 1265083315 |
|---|---|
| Provider Enumeration Date | 09/20/2019 |
| Last Update Date | 07/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265083315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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