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Organization
SOUTH PORT DENTISTRY
Active
Organization
SOUTH PORT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVANNAH SPIRES (MANAGER)
(912) 207-0223
Entity
Organization
Contact information
Practice address
200 HYDE PARK CMNS, BRUNSWICK, GA 31523-6601
(912) 342-8404
Mailing address
288 REDFERN VLG, ST SIMONS ISLAND, GA 31522-2536
(912) 638-9090
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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