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GOLDEN ISLES ORAL SURGERY, L.L.C.
NPI 1205186863
Dentist - Oral and Maxillofacial Surgery in Brunswick, GA

Active since September 11, 2012
17 PROFESSIONAL DRIVE, SUITE 100, BRUNSWICK, GA 31520(912) 264-6420(912) 264-6242 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Golden Isles Oral Surgery, L.l.c. NPPES

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

GOLDEN ISLES ORAL SURGERY, L.L.C. (NPI 1205186863) is a healthcare organization registered as an oral and maxillofacial surgery in Brunswick, Georgia and active in the NPI registry since September 2012. The organization lists Jennifer E. Hall, Owner, as its authorized official.

NPPES Registry Identity

NPI1205186863
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameGOLDEN ISLES ORAL SURGERY, L.L.C.
Location Address17 PROFESSIONAL DRIVE, SUITE 100Brunswick, GA 31520-3794
Mailing Address17 Professional Drive, Suite 100Brunswick, GA 31520-3794 · (912) 264-6420 · Fax (912) 264-6242
Phone(912) 264-6420
Fax(912) 264-6242
Organization SubpartNo
Authorized OfficialJennifer E. HallOwner · (912) 264-6420
Enumeration DateSeptember 11, 2012
Last NPPES UpdateOctober 15, 2012
✔ NPI 1205186863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in GA · DN011864
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
17 PROFESSIONAL DRIVE, Brunswick, GA 31520
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Other Identifiers 2

Medicare UPINV01536GA
Medicaid667957245CGA

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

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 Golden Isles Oral Surgery, L.L.C.'s NPI number?

The NPI number for Golden Isles Oral Surgery, L.L.C. is 1205186863. It was assigned to this organization in the NPPES registry on September 11, 2012.

Where is Golden Isles Oral Surgery, L.L.C. located?

Golden Isles Oral Surgery, L.L.C. is located at 17 Professional Drive Suite 100, Brunswick, GA 31520. The listed phone number is (912) 264-6420.

What is Golden Isles Oral Surgery, L.L.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Golden Isles Oral Surgery, L.L.C. was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.