| NPI | 1750705323 |
|---|---|
| Doing Business As | O'MALLEY DENTAL |
| Doing Business As | SOUTHERN OAK DENTAL SIMPSONVILLE |
| Entity Type | Organization |
| Authorized Contact | CASEY CASTLE Director Of Payor Contracts 912-732-1504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2026-06-11 |