Organization
ENDODONTIC ASSOCIATES OF SAVANNAH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK VAN MILES DMD (PRESIDENT)
(912) 355-7790
Entity
Organization
Contact information
Practice address
316 STEPHENSON AVENUE, SAVANNAH, GA 31405
(912) 355-7790
(912) 351-9546
Mailing address
316 STEPHENSON AVENUE, SAVANNAH, GA 31405
(912) 355-7790
(912) 351-9546
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
10049
GA
1223E0200X
Endodontics
Primary
10050
GA
1223E0200X
Endodontics
DN013720
GA
Other
Enumeration date
10/14/2006
Last updated
05/14/2013
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