SOUTHSIDE EMERGENCY DENTAL CENTER LLC (NPI# 1841755287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841755287 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE EMERGENCY DENTAL CENTER LLC |
| Practice Address |
10515 White Bluff Rd. Savannah GA 31406 |
| Practice Telephone | 9129256613 |
| Practice Fax Number | 9129256657 |
| Mailing Telephone | 9129256613 |
| Mailing Fax Number | 9129256657 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Authorized Official Name | STEPHANIE LUCREE SKINNER (OWNER) |
| Authorized Official Telephone | 9124846613 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | STEPHANIE L. SKINNER, D.M.D, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
10515 WHITE BLUFF RD. |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| 1619406626 | Clearwater Health Services Inc | Home Health | 5859 Abercorn Street, Suite 3, Savannah, GA 31406 | 2017-06-05 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184117392 | Scott Carl Harman | Dentist | 22 Park of Commerce Way Ste 1, Savannah, GA 31405-7479 | 2018-06-12 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1255783353 | Lindsay H English | Dentist | 310 Eisenhower Dr Bldg No8, Savannah, GA 31406 | 2016-07-13 |
| 1720442627 | Gamble Dentalsmart Eb5 Vii PC | Dentist | 110 Mall Blvd, Savannah, GA 31406-4728 | 2016-04-07 |
| 1407297799 | Nichole R Madison | Dentist | 107 Fahm St, Savannah, GA 31401-2391 | 2013-07-15 |
| 1548528045 | Morgan Wimbish Murray | Dentist | 721 E 66th St, Savannah, GA 31405-4505 | 2012-05-03 |
| 1265741201 | Laura Hawkins Hissam | Dentist | 5420 Paulsen Street, Savannah, GA 31405 | 2010-09-24 |
| 1801124862 | Leon Edward Felps | Dentist | 6602 Abercorn St., Suite 101, Savannah, GA 31405 | 2009-12-01 |
| 1508099490 | Hetal Patel | Dentist | 101 Little Neck Rd, Savannah, GA 31419-8828 | 2009-08-26 |
| 1124260096 | Todd Wilson Fruit | Dentist | 400 Johnny Mercer Blvd Ste A, Savannah, GA 31410-2166 | 2009-03-24 |
| Find all providers in SAVANNAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.