Organization Active NPI

Golden Isles Dental Associates, LLC

  • General Practice Dentistry
  • Brunswick, GA
National Provider Identifier
1639874902
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GOLDEN ISLES DENTAL ASSOCIATES, LLC
Practice address
25 Coral Park Way
Brunswick, GA 31520-3000
Phone
(912) 265-0750
NPI assigned
Apr 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Dr. McDonald Morrison, DMDNPI 1811455314
Title
Dentist
Phone
(912) 265-0750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

25 Coral Park Way
Brunswick, GA 31520-3000

Mailing address

25 Coral Park Way
Brunswick, GA 31520-3000
Phone (912) 265-0750

National Provider Directory

National Provider Directory

Locations

25 Coral Park Way
Brunswick, GA 31520
Phone (912) 265-0750

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1639874902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CORAL PARK WAY",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203000",
            "telephone_number": "912-265-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CORAL PARK WAY",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203000",
            "telephone_number": "912-265-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ISLES DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "MCDONALD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "912-265-0750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.