| St. Simons Island Dental Associates, Pc | |
|
2487 Demere Rd Ste 100 St Simons Island GA 31522-5639 | |
| (912) 638-9921 | |
| (912) 638-4121 |
| Full Name | St. Simons Island Dental Associates, Pc |
|---|---|
| Speciality | Dentist |
| Location | 2487 Demere Rd, St Simons Island, Georgia |
| Authorized Official Name and Position | Paul E Thompson (DENTIST) |
| Authorized Official Contact | 9126389921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Simons Island Dental Associates, Pc 2487 Demere Rd Ste 100 Po Box 20326 St Simons Island GA 31522-5640 Ph: (912) 638-9921 | St. Simons Island Dental Associates, Pc 2487 Demere Rd Ste 100 St Simons Island GA 31522-5639 Ph: (912) 638-9921 |
| NPI Number | 1003958638 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6103238381 |
|---|---|
| Medicare Enrollment ID | O20201211001032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003958638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN011726 (Georgia) | Primary |
| 122300000X | Dentist | DN012532 (Georgia) | Secondary |
| Provider Name | Paul E Thompson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1831359660 PECOS PAC ID: 8628362506 Enrollment ID: I20201211001515 |
| Provider Name | Brandon R Clements |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1760642706 PECOS PAC ID: 6709170699 Enrollment ID: I20201211001645 |
Dr Jack H Melton Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Main St, Ste 101, St Simons Island, GA 31522 Phone: 912-638-9001 Fax: 912-634-9819 | |
Coastal Oral Surgery Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Office Park Ln Ste 104, St Simons Island, GA 31522 Phone: 912-634-6600 | |
Coastal Kids Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2487 Demere Rd Ste 300, St Simons Island, GA 31522 Phone: 912-638-9302 | |
Hopkins Family Dentistry Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 300 Main St, Suite 101, St Simons Island, GA 31522 Phone: 912-638-9001 | |
Thomas J. Sayer, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Main St, Suite 102, St Simons Island, GA 31522 Phone: 912-638-9946 Fax: 912-638-4407 |