GOLDEN ISLES PEDIATRIC DENTISTRY NPI 1598140600

NPI Information

  • NPI: 1598140600
  • Provider Name: GOLDEN ISLES PEDIATRIC DENTISTRY
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 2475 VILLAGE DR
    SUITE 114
    KINGSLAND, GA
    ZIP 31548
  • Phone: (912) 882-4040

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NPI Details

GOLDEN ISLES PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Kingsland, GA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. GOLDEN ISLES PEDIATRIC DENTISTRY NPI is 1598140600. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2475 VILLAGE DR
SUITE 114
KINGSLAND, GA
ZIP 31548-728
Phone: (912) 882-4040
Fax: (912) 882-3514

The provider's authorized official is Patricia Dunn .
The authorized official title is President/ceo and has the following contact phone number (912) 882-4040.

The enumeration date for this NPI number is 7/30/2015 and was last updated on 7/30/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryDN012985GEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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