Organization · Type 2 NPI
Georgia Dental Affiliates, LLC
Oral and Maxillofacial Surgery (Dentist) · St. Simons Island, GA
NPI number
1285411694
Active
Practice location
110 Office Park Ln Ste 104
St. Simons Island, GA 31522-6604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
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.
Other oral and maxillofacial surgery (dentist) providers in St. Simons Island
About NPI 1285411694
Georgia Dental Affiliates, LLC's National Provider Identifier is 1285411694, issued on Sep 11, 2023. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in St. Simons Island, GA. The record was last updated on Jan 19, 2024.