| William L Whatley D.m.d. P.c. | |
|
2487 Demere Rd Suite 300 Saint Simons Island GA 31522-5639 | |
| (912) 638-9302 | |
| Not Available |
| Full Name | William L Whatley D.m.d. P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2487 Demere Rd, Saint Simons Island, Georgia |
| Authorized Official Name and Position | William L Whatley (PRESIDENT) |
| Authorized Official Contact | 9126389302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William L Whatley D.m.d. P.c. 2487 Demere Rd Suite 300 Saint Simons Island GA 31522-5639 Ph: (912) 638-9302 | William L Whatley D.m.d. P.c. 2487 Demere Rd Suite 300 Saint Simons Island GA 31522-5639 Ph: (912) 638-9302 |
| NPI Number | 1972663136 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972663136 | NPI | - | NPPES |
| 00458807A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 10831 (Georgia) | Primary |
Md Endodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1804 Frederica Rd Ste B, Saint Simons Island, GA 31522 Phone: 912-268-2800 | |
Coastal Oral Surgery Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Office Park Ln, Suite 104, Saint Simons Island, GA 31522 Phone: 912-634-6600 Fax: 912-634-3882 | |
Coastal Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1804 Frederica Rd Ste B, Saint Simons Island, GA 31522 Phone: 912-268-2800 Fax: 912-434-9936 |