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SAVANNAH PERIODONTICS P.C NPI 1396196812


NPI Information

NPI: 1396196812
Provider Name: SAVANNAH PERIODONTICS, P.C
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
310 EISENHOWER DR STE 4
SAVANNAH, GA
ZIP 31406
Phone: (912) 355-2688
Get Directions

SAVANNAH PERIODONTICS, P.C is a periodontics dentist in Savannah, GA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. SAVANNAH PERIODONTICS, P.C NPI is 1396196812. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

310 EISENHOWER DR STE 4
SAVANNAH, GA
ZIP 31406-632
Phone: (912) 355-2688
Fax: (912) 355-2657

The provider's authorized official is Elizabeth J. Henderson .
The authorized official title is Office Manager and has the following contact phone number (912) 355-2688.

The enumeration date for this NPI number is 6/27/2016 and was last updated on 6/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodonticsDN013747GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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