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Individual

DR. JEFFREY OLIVER CAPES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D., M.D.

Contact information

Practice address
110 OFFICE PARK LANE, SUITE 104, ST SIMONS ISLAND, GA 31522-3152
(912) 634-6600
(912) 634-3882
Mailing address
110 OFFICE PARK LN STE 104, ST SIMONS ISLAND, GA 31522-6604
(912) 634-6600
(912) 634-3882

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
011515
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
045781
GA

Other

Enumeration date
03/12/2007
Last updated
04/29/2019
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