Organization
COASTAL ORAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY OLIVER CAPES (OWNER)
(912) 634-6600
Entity
Organization
Contact information
Practice address
110 OFFICE PARK LN, SUITE 104, SAINT SIMONS ISLAND, GA 31522-6601
(912) 634-6600
(912) 634-3882
Mailing address
110 OFFICE PARK LN, SUITE 104, SAINT SIMONS ISLAND, GA 31522-6601
(912) 634-6600
(912) 634-3882
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
011515
GA
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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