Healthcare Provider Details

I. General information

NPI: 1821159963
Provider Name (Legal Business Name): FRANK E. SCARBROUGH DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4849 PAULSEN ST SUITE 312
SAVANNAH GA
31405-4423
US

IV. Provider business mailing address

145 TRADERS WAY SUITE A
POOLER GA
31322-6005
US

V. Phone/Fax

Practice location:
  • Phone: 912-354-1515
  • Fax: 912-354-8181
Mailing address:
  • Phone: 912-748-4365
  • Fax: 912-748-0671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number011165
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: