Organization · Type 2 NPI

Coastal Oral Surgery Associates

Oral and Maxillofacial Surgery (Dentist) · St. Simons Island, GA

NPI number 1457735995 Active

Practice location

110 Office Park Ln, Suite 104
St. Simons Island, GA 31522-6601

Fax (912) 634-3882

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X011515 (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 1457735995

Coastal Oral Surgery Associates's National Provider Identifier is 1457735995, issued on Jul 15, 2015. 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 Jul 15, 2015.