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Organization

GEORGIA DENTAL AFFILIATES, LLC

Active
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Organization

GEORGIA DENTAL AFFILIATES, LLC

Active
Other names
Coastal Oral Surgery Associates
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY CAPES DMD (MANAGING DENTIST)
(912) 634-6600
Entity
Organization

Contact information

Practice address
110 OFFICE PARK LN STE 104, ST SIMONS ISLAND, GA 31522-6604
(912) 634-6600
Mailing address
110 OFFICE PARK LN STE 104, ST SIMONS ISLAND, GA 31522-6604
(912) 634-6600

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—

Other

Enumeration date
09/11/2023
Last updated
01/19/2024
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