Coastal Oral Surgery Associates

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

011515 Issued in GA

Legal business name

COASTAL ORAL SURGERY ASSOCIATES

Practice address

110 Office Park LN
Suite 104
Saint Simons Island, GA 31522-6601

Phone

(912) 634-6600

Fax

(912) 634-3882

NPI assigned

Jul 15, 2015

Last updated

Jul 15, 2015By 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

Dr. Jeffrey Oliver CapesNPI 1336271543

Title

Owner

Phone

(912) 634-6600

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Jeffrey Oliver Capes, D.M.D., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • St Simons Island, GA
  • NPI 1336271543
  Authorized official Same address or phone
• Dexter Witherington Mattox, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Brunswick, GA
  • NPI 1285083527
  NPD (past)
• Scott A Middleton, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Sarasota, FL
  • NPI 1528287059
  NPD (past)

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1457735995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 OFFICE PARK LN",
            "address_2": "SUITE 104",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315226601",
            "telephone_number": "912-634-6600",
            "fax_number": "912-634-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 OFFICE PARK LN",
            "address_2": "SUITE 104",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315226601",
            "telephone_number": "912-634-6600",
            "fax_number": "912-634-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ORAL SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "CAPES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-634-6600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "011515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Community Health Services, Inc. (Coastal Community Health St. Simon's Island Pediatrics)
• Coastal Community Retirement Corporation (Marsh's Edge)
• Coastal Community Retirement Corporation
• Coastal Eye Care LLC (Coastal Eye Care)
• Coastal Kids Dentistry
• Crane Physical Therapy and Wellness
• Mary Beth Currey, LPC
• Elizabeth Thompson Daniel, PT
• William W. Daniels Jr., M.D.
• Katrina Dare, OT

• Oral and Maxillofacial Surgery (Dentist) in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.