Coastal Oral Surgery Associates
Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Saint Simons Island, GA
NPI 1457735995 · NPPES record last updated Jul 15, 2015
Key facts
- NPI
- 1457735995
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 011515 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Jeffrey Oliver Capes
- Title
- Owner
- Phone
- (912) 634-6600
Practitioners 2
-
Dexter Witherington Mattox, DMD, MD
-
Scott A Middleton, DMD, MD
National Provider Directory
Locations
2487 Demere Rd
Ste 200
St Simons Island, GA 31522
Phone (912) 634-6600
110 Office Park Ln
Ste 104
St Simons Island, GA 31522
Phone (912) 634-6600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | 011515 | GA | Yes |
Addresses
Primary practice location
110 Office Park LN
Suite 104
Saint Simons Island, GA 31522-6601
Mailing address
110 Office Park LN
Suite 104
Saint Simons Island, GA 31522-6601
Phone (912) 634-6600
Other providers in Saint Simons Island, GA
- Coastal Community Health Services, Inc.
- Coastal Community Retirement Corporation
- Coastal Community Retirement Corporation
- Coastal Eye Care LLC
- Coastal Kids Dentistry
- Crane Physical Therapy and Wellness
- Mary Beth Currey
- Elizabeth Thompson Daniel
- William W. Daniels Jr.
- Katrina Dare
All providers in Saint Simons Island, GA · Oral and Maxillofacial Surgery (Dentist) in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.