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South Port Dentistry
Dental Clinic/Center in Brunswick, Georgia
NPI 1013778042

South Port Dentistry is a Dental Clinic/Center based in St Simons Island, GA and is specialized in Dental. South Port Dentistry practices in Brunswick, GA. The NPI Number for South Port Dentistry is 1013778042 and holds a License No. (Georgia).

The current practice location address for South Port Dentistry is 200 Hyde Park Cmns, Brunswick, GA and can be reached out via phone at 912-342-8404.

Location: 200 Hyde Park Cmns, Brunswick, GA, 31522-2536
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013778042
Provider Name
South Port Dentistry
Credential
Provider Entity Type
Organization
Address
200 Hyde Park Cmns, Brunswick, GA, 31522-2536
Phone Number
912-342-8404
Fax Number
Provider Enumeration Date
01/17/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
200 Hyde Park Cmns
City
Brunswick
State
Georgia
Zip
31523-6601
Phone Number
912-342-8404
Fax Number
person
Provider Business Mailing Address Details
Address
200 Hyde Park Cmns
City
Brunswick
State
Georgia
Zip
31523-6601
Phone Number
912-342-8404
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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