South Port Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SOUTH PORT DENTISTRY

Practice address

200 Hyde Park CMNS
Brunswick, GA 31523-6601

Phone

(912) 342-8404

NPI assigned

Jan 17, 2024

Last updated

Jan 17, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Savannah Spires

Title

Manager

Phone

(912) 207-0223

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Taylor Barnett, DMD

  • Dentist
  • Brunswick, GA
  • NPI 1154212678
  NPD
• Austin Nicholas Brown, DDS

  • General Practice Dentistry
  • St Simons Island, GA
  • NPI 1699408948
  NPD
• Zachary Joseph Powell, D.M.D

  • Dentist
  • Cumming, GA
  • NPI 1033221684
  NPD
• Joe Neil Garner, DMD

  • Dentist
  • St Simons Island, GA
  • NPI 1134239460
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1013778042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 REDFERN VLG",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222536",
            "telephone_number": "912-638-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HYDE PARK CMNS",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315236601",
            "telephone_number": "912-342-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PORT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "SPIRES",
        "authorized_official_first_name": "SAVANNAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "912-207-0223"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solar Family Practice
• Solar Family Practice and Pain Management
• Marianne Davignon Somma, DNP
• South Georgia Allergy Clinic PC
• South Georgia Psychological Services PC
• Southeast Eye Laser Surgery Center
• Southeast Georgia Health System, Inc. (Southeast Georgia Health System - Brunswick Campus)
• Southeast Georgia Health System, Inc.
• Southeast Georgia Hematology/Oncology Assoc.
• Southeast Georgia Open MRI LLC

• Dental Clinic/Center in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.