Provider Demographics
NPI:1255459665
Name:PRIEST, GEORGE FRANK JR (DMD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:FRANK
Last Name:PRIEST
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 MAIN ST
Mailing Address - Street 2:STE 303
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-6606
Mailing Address - Country:US
Mailing Address - Phone:843-342-8890
Mailing Address - Fax:866-255-3003
Practice Address - Street 1:23 MAIN ST
Practice Address - Street 2:STE 303
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-6606
Practice Address - Country:US
Practice Address - Phone:843-342-8890
Practice Address - Fax:866-255-3003
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6611223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics