Golden Isles Oral Surgery, L.L.C.

LBN: Golden Isles Oral Surgery, L.L.C.
Golden Isles Oral Surgery, L.L.C. is an health care organization with primary practice located at 17 Professional Drive Suite 100, Brunswick GA 31520-3794. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Golden Isles Oral Surgery, L.L.C. can be contacted via phone (912) 264-6420, or through Hall, Jennifer E. via phone (912) 264-6420.

Contact Information

Primary practice address
17 Professional Drive Suite 100 Brunswick GA 31520-3794
Phone: (912) 264-6420
Fax: (912) 264-6242
Website:
Map and Directions
Authorized official contact:
Name: Hall, Jennifer E. Doctor of Dental Medicine (DMD)
Phone: (912) 264-6420

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN011864 Georgia

Profile Details

NPI number 1205186863
LBN Legal business name Golden Isles Oral Surgery, L.L.C.
DBA Doing business as
Authorized official Hall, Jennifer E. Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2012
Last updated Oct 15th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205186863 NPPES
Georgia MEDICAID 667957245C

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