Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Oral Maxillofacial Surgery Group of Coastal Georgia

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1649843301

Oral Maxillofacial Surgery Group of Coastal Georgia is an Oral and Maxillofacial Surgery (Dentist) in Pooler, Georgia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

506 US Highway 80 W
Pooler, GA 31322-2104
Phone: (912) 600-6060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1649843301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Theodotou — Oral Surgeon · (912) 600-6060
Other names Oms Of Coastal Ga
NPI enumeratedJuly 21, 2021
Last updated in NPPESJuly 21, 2021
Certification dateJuly 21, 2021
Mailing address506 Us Highway 80 W, Pooler, GA 31322-2104

Other providers in Pooler