Organization · Type 2 NPI

Golden Isles Oral Surgery, L.l.c.

Oral and Maxillofacial Surgery (Dentist) · Brunswick, GA

NPI number 1205186863 Active

Practice location

17 Professional Drive, Suite 100
Brunswick, GA 31520-3794

Fax (912) 264-6242

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN011864 (GA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1205186863

Golden Isles Oral Surgery, L.l.c.'s National Provider Identifier is 1205186863, issued on Sep 11, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Brunswick, GA. The record was last updated on Oct 15, 2012.