Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Simons Island Dental Associates, PC

Organization Dentist · NPI 1003958638

St Simons Island Dental Associates, PC is a Dentist in St Simons Island, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2487 Demere Rd Ste 100
St Simons Island, GA 31522-5639
Phone: (912) 638-9921
Fax: (912) 638-4121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN011726 (GA)
Dentist Taxonomy 122300000X · Licence DN012532 (GA)
Customized Equipment (DME) Taxonomy 332BC3200X

Record details

NPI number1003958638
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Thompson — Dentist · (912) 638-9921
NPI enumeratedFebruary 12, 2007
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025
Mailing address2487 Demere Rd Ste 100, Po Box 20326, St Simons Island, GA 31522-5640

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