Organization · Type 2 NPI
Coastal Kids Dentistry
Dental Clinic/Center · St. Simons Island, GA
NPI number
1407617459
Active
Practice location
2487 Demere Rd Ste 300
St. Simons Island, GA 31522-5642
Mailing address
288 Redfern Vlg
St. Simons Island, GA 31522-2536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1407617459
Coastal Kids Dentistry's National Provider Identifier is 1407617459, issued on Jan 17, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in St. Simons Island, GA. The record was last updated on Jan 17, 2024.