| Oral Maxillofacial Surgery Group Of Coastal Georgia | |
|
506 Us Highway 80 W Pooler GA 31322-2104 | |
| (912) 600-6060 | |
| Not Available |
| Full Name | Oral Maxillofacial Surgery Group Of Coastal Georgia |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 506 Us Highway 80 W, Pooler, Georgia |
| Authorized Official Name and Position | Nicholas Theodotou (ORAL SURGEON) |
| Authorized Official Contact | 9126006060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Maxillofacial Surgery Group Of Coastal Georgia 506 Us Highway 80 W Pooler GA 31322-2104 Ph: (912) 600-6060 | Oral Maxillofacial Surgery Group Of Coastal Georgia 506 Us Highway 80 W Pooler GA 31322-2104 Ph: (912) 600-6060 |
| NPI Number | 1649843301 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 07/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649843301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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