SOUTH PORT DENTISTRY
NPI 1013778042
Clinic/Center - Dental in Brunswick, GA

Active since January 17, 2024
200 HYDE PARK CMNS, BRUNSWICK, GA 31523(912) 342-8404 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About South Port Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH PORT DENTISTRY (NPI 1013778042) is a healthcare organization registered as a dental in Brunswick, Georgia and active in the NPI registry since January 2024. The organization lists Savannah Spires, Manager, as its authorized official.

NPPES Registry Identity

NPI1013778042
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSOUTH PORT DENTISTRY
Location Address200 HYDE PARK CMNSBrunswick, GA 31523-6601
Mailing Address288 Redfern VlgSt Simons Island, GA 31522-2536 · (912) 638-9090
Organization SubpartNo
Authorized OfficialSavannah SpiresManager · (912) 207-0223
Enumeration DateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
NPI 1013778042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
200 HYDE PARK CMNS, Brunswick, GA 31523

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
200 HYDE PARK CMNS
BRUNSWICK, GA 31523

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Port Dentistry's NPI number?

The NPI number for South Port Dentistry is 1013778042. It was assigned to this organization in the NPPES registry on January 17, 2024.

Where is South Port Dentistry located?

South Port Dentistry is located at 200 Hyde Park Cmns, Brunswick, GA 31523. The listed phone number is (912) 342-8404.

What is South Port Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for South Port Dentistry was last updated on January 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.