Organization
SOUTHSIDE EMERGENCY DENTAL CENTER LLC
Active
Parent organization
STEPHANIE L. SKINNER, D.M.D, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEPHANIE L. SKINNER, D.M.D, PC
Authorized official
STEPHANIE LUCREE SKINNER D.M.D. (OWNER)
(912) 484-6613
Entity
Organization
Contact information
Practice address
10515 WHITE BLUFF RD., SAVANNAH, GA 31406
(912) 925-6613
(912) 925-6657
Mailing address
10515 WHITE BLUFF RD., SAVANNAH, GA 31406
(912) 925-6613
(912) 925-6657
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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