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Organization
ST. SIMONS ISLAND DENTAL ASSOCIATES, PC
Active
Organization
ST. SIMONS ISLAND DENTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL E THOMPSON DMD (DENTIST)
(912) 638-9921
Entity
Organization
Contact information
Practice address
2487 DEMERE RD, STE 100, ST SIMONS ISLAND, GA 31522-5639
(912) 638-9921
(912) 638-4121
Mailing address
2487 DEMERE RD STE 100, PO BOX 20326, ST SIMONS ISLAND, GA 31522-5640
(912) 638-9921
(912) 638-4121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN011726
GA
122300000X
Dentist
DN012532
GA
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
02/12/2007
Last updated
01/23/2025
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