| South Port Dentistry | |
|
200 Hyde Park Cmns Brunswick GA 31523-6601 | |
| (912) 342-8404 | |
| Not Available |
| Full Name | South Port Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 200 Hyde Park Cmns, Brunswick, Georgia |
| Authorized Official Name and Position | Savannah Spires (MANAGER) |
| Authorized Official Contact | 9122070223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Port Dentistry 288 Redfern Vlg St Simons Island GA 31522-2536 Ph: (912) 638-9090 | South Port Dentistry 200 Hyde Park Cmns Brunswick GA 31523-6601 Ph: (912) 342-8404 |
| NPI Number | 1013778042 |
|---|---|
| Provider Enumeration Date | 01/17/2024 |
| Last Update Date | 01/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013778042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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