Dental Center of St Simons

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011894 Issued in GA

Legal business name

DENTAL CENTER OF ST SIMONS

Practice address

101 Brunswick Ave
St Simons Is, GA 31522-2606

Phone

(912) 634-4890

Fax

(912) 634-4892

NPI assigned

Dec 4, 2015

Last updated

Dec 4, 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

Mrs. Sherrie Mitchell

Title

Office Manager

Phone

(912) 537-7048

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Kevin D Boyer, D.M.D.

  • General Practice Dentistry
  • St Simons Island, GA
  • NPI 1306919360
  NPD (past)

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1891160602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BRUNSWICK AVE",
            "city": "ST SIMONS IS",
            "state": "GA",
            "postal_code": "315222606",
            "telephone_number": "912-634-4890",
            "fax_number": "912-634-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BRUNSWICK AVE",
            "city": "ST SIMONS IS",
            "state": "GA",
            "postal_code": "315222606",
            "telephone_number": "912-634-4890",
            "fax_number": "912-634-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CENTER OF ST SIMONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-537-7048",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Agurs, MPT
• Aaron Allen
• Alphacare Christian Therapy (Alphacare Health)
• Julia Anne Casey, DPT
• Raleeta Dianne Davis, MEDCCCSLP
• Hunter Farthing, MS, RDN, LDN
• Ronald Tracy Gerken, RPH
• Matthew Mackinnon Gibbs
• Gail Katherine Godwin, PHD, PMHNP-BC
• Karen Heller Griffith, RPH

• General Practice Dentistry in St Simons Is, GA
• Providers in St Simons Is, GA by specialty
• General Practice Dentistry in Georgia

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