| Southside Emergency Dental Center Llc | |
|
10515 White Bluff Rd. Savannah GA 31406 | |
| (912) 925-6613 | |
| (912) 925-6657 |
| Full Name | Southside Emergency Dental Center Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10515 White Bluff Rd., Savannah, Georgia |
| Authorized Official Name and Position | Stephanie Lucree Skinner (OWNER) |
| Authorized Official Contact | 9124846613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Emergency Dental Center Llc 10515 White Bluff Rd. Savannah GA 31406 Ph: (912) 925-6613 | Southside Emergency Dental Center Llc 10515 White Bluff Rd. Savannah GA 31406 Ph: (912) 925-6613 |
| NPI Number | 1841755287 |
|---|---|
| Provider Enumeration Date | 02/08/2019 |
| Last Update Date | 02/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841755287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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