| Southeastern Endodontics LLC | |
|
911 E 67th St Savannah GA 31405-4612 | |
| (912) 352-2289 | |
| (912) 352-2042 |
| Full Name | Southeastern Endodontics LLC |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 911 E 67th St, Savannah, Georgia |
| Authorized Official Name and Position | Deborah Demott (OFFICE MANAGER) |
| Authorized Official Contact | 9123522289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Endodontics LLC 911 E 67th St Savannah GA 31405-4612 Ph: (912) 352-2289 | Southeastern Endodontics LLC 911 E 67th St Savannah GA 31405-4612 Ph: (912) 352-2289 |
| NPI Number | 1437233202 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437233202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 7984 (Georgia) | Secondary |
| 1223E0200X | Dentist - Endodontics | 012079 (Georgia) | Primary |
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