SEASIDE LIFETIME DENTISTRY
NPI 1124576954
Dentist - General Practice in Brunswick, GA

Active since September 21, 2016
165 JUNIPER CIR, BRUNSWICK, GA 31520(912) 554-4552 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Seaside Lifetime Dentistry NPPES

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

SEASIDE LIFETIME DENTISTRY (NPI 1124576954) is a healthcare organization registered as a general practice in Brunswick, Georgia and active in the NPI registry since September 2016. The organization lists Cassandra N Teutsch, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1124576954
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGEORGIA DENTAL PROFESSIONALS, PC
Location Address165 JUNIPER CIRBrunswick, GA 31520-1953
Mailing Address165 Juniper CirBrunswick, GA 31520-1953 · (912) 554-4552
Organization SubpartYes
Authorized OfficialCassandra N TeutschCredentialing Coordinator · (217) 540-8972
Enumeration DateSeptember 21, 2016
NPI 1124576954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
165 JUNIPER CIR, Brunswick, GA 31520

Other Names 1

Doing Business AsSeaside Lifetime Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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
165 JUNIPER CIR
BRUNSWICK, GA 31520

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 Georgia Dental Professionals, PC's NPI number?

The NPI number for Georgia Dental Professionals, PC is 1124576954. It was assigned to this organization in the NPPES registry on September 21, 2016. The provider is doing business as Seaside Lifetime Dentistry.

Where is Georgia Dental Professionals, PC located?

Georgia Dental Professionals, PC is located at 165 Juniper Cir, Brunswick, GA 31520. The listed phone number is (912) 554-4552.

What is Georgia Dental Professionals, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Georgia Dental Professionals, PC was last updated on September 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.