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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ST. SIMONS ISLAND DENTAL ASSOCIATES, PC

Active Organization

Dentist · ST SIMONS ISLAND, GA

Registration Details

NPI Number
1003958638
Provider Type
Organization
NPI Issued
Feb 12, 2007 (19.229163951343 yrs)
Last Updated
Jan 23, 2025
Licenses
DN012532 (GA)
DN011726 (GA)

Practice Information

Address
2487 DEMERE RD
STE 100
ST SIMONS ISLAND, GA, 315225639
Browse GA providers · Browse ZIP 31522
Phone
9126389921
Fax
9126384121
Primary Specialty
Dentist
122300000X
Additional Specialty
Customized Equipment (DME)
Additional Specialty
Dentist

Other Dentist Organizations in ST SIMONS ISLAND, GA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.