is a Dental Clinic in Pooler, Georgia. It is located at 103 Park Ave Ste 200, Pooler, GA and its contact number is 912-330-6000. The authorized person for is Mrs. Kristy Solomon
who is Office Manager of the clinic and their contact number is 912-330-6000. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Dentistry
Clinic Address:
103 Park Ave Ste 200, Pooler, Georgia, 31322-4262
Phone:
912-330-6000
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Kristy Solomon
Position:
Office Manager
Contact Number:
912-330-6000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1215572276
NPI Enumeration Date:
14 Nov, 2019
NPI Last Update On:
13 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
Primary
Dentist
Secondary
Dental Public Health
Secondary
Endodontics
Secondary
Pediatric Dentistry
Secondary
Periodontics
Secondary
Oral and Maxillofacial Surgery
Secondary
Denturist
Secondary
Dental Hygienist
Secondary
Dental Assistant
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1538518774
Other
Nppes
1578782702
Other
Nppes
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
103 Park Ave Ste 200, Pooler, Georgia
Zip:
31322-4262
Phone Number:
912-330-6000
Patients can reach at 103 Park Ave Ste 200, Pooler, Georgia or can call to book an appointment on 912-330-6000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.