Oral Maxillofacial Surgery Group Of Coastal Georgia

LBN: Oral Maxillofacial Surgery Group Of Coastal Georgia
Oral Maxillofacial Surgery Group Of Coastal Georgia is an health care organization with primary practice located at 506 Us Highway 80 W , Pooler GA 31322-2104. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Oral Maxillofacial Surgery Group Of Coastal Georgia can be contacted via phone (912) 600-6060, or through Theodotou, Nicholas via phone (912) 600-6060.

Contact Information

Primary practice address
506 Us Highway 80 W Pooler GA 31322-2104
Phone: (912) 600-6060
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Theodotou, Nicholas Doctor of Dental Surgery (DDS)
Phone: (912) 600-6060

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1649843301
LBN Legal business name Oral Maxillofacial Surgery Group Of Coastal Georgia
DBA Doing business as
Authorized official Theodotou, Nicholas Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2021
Last updated Jul 21st, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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