Organization
DENTAL CENTER OF ST SIMONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRIE MITCHELL (OFFICE MANAGER)
(912) 537-7048
Entity
Organization
Contact information
Practice address
101 BRUNSWICK AVE, ST SIMONS IS, GA 31522-2606
(912) 634-4890
(912) 634-4892
Mailing address
101 BRUNSWICK AVE, ST SIMONS IS, GA 31522-2606
(912) 634-4890
(912) 634-4892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011894
GA
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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