| Surfside Kids Pediatric Dentistry P.c. | |
|
256 Scranton Connector Ste 110 Brunswick GA 31525-0556 | |
| (912) 272-7656 | |
| Not Available |
| Full Name | Surfside Kids Pediatric Dentistry P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 256 Scranton Connector, Brunswick, Georgia |
| Authorized Official Name and Position | Loy Hagan (PEDIATRIC DENTIST) |
| Authorized Official Contact | 9122727656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surfside Kids Pediatric Dentistry P.c. 256 Scranton Connector Ste 110 Brunswick GA 31525-0556 Ph: (912) 272-7656 | Surfside Kids Pediatric Dentistry P.c. 256 Scranton Connector Ste 110 Brunswick GA 31525-0556 Ph: (912) 272-7656 |
| NPI Number | 1144676826 |
|---|---|
| Provider Enumeration Date | 05/11/2016 |
| Last Update Date | 05/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144676826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN015083 (Georgia) | Primary |
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