1. Home
  2. Directory
  3. Georgia
  4. Pooler
  5. Dentist
  6. NPI Profile

ORAL MAXILLOFACIAL SURGERY GROUP OF COASTAL GEORGIA
NPI 1649843301
Dentist - Oral and Maxillofacial Surgery in Pooler, GA

Active since July 21, 2021
506 US HIGHWAY 80 W, POOLER, GA 31322(912) 600-6060 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Oral Maxillofacial Surgery Group Of Coastal Georgia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORAL MAXILLOFACIAL SURGERY GROUP OF COASTAL GEORGIA (NPI 1649843301), doing business as Oms Of Coastal Ga, is a healthcare organization registered as an oral and maxillofacial surgery in Pooler, Georgia and active in the NPI registry since July 2021. The organization lists Nicholas Theodotou, Oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1649843301
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL MAXILLOFACIAL SURGERY GROUP OF COASTAL GEORGIA
Location Address506 US HIGHWAY 80 WPooler, GA 31322-2104
Mailing Address506 Us Highway 80 WPooler, GA 31322-2104 · (912) 600-6060
Phone(912) 600-6060
Organization SubpartNo
Authorized OfficialNicholas TheodotouOral Surgeon · (912) 600-6060
Enumeration DateJuly 21, 2021
NPPES CertifiedJuly 21, 2021
✔ NPI 1649843301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
506 US HIGHWAY 80 W, Pooler, GA 31322
Open in Google Maps ↗

Other Names 1

Doing Business AsOms Of Coastal Ga

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICHOLAS THEODOTOU BDS, DDS
Dentist (Oral and Maxillofacial Surgery)
506 US HIGHWAY 80 W
POOLER, GA 31322
Chatham County (912) 600-6060
ORAL SURGERY GROUP OF COASTAL GEORGIA, LLC
Dentist (Oral and Maxillofacial Surgery)
506 US HIGHWAY 80 W
POOLER, GA 31322
Chatham County (912) 330-9229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oral Maxillofacial Surgery Group Of Coastal Georgia's NPI number?

The NPI number for Oral Maxillofacial Surgery Group Of Coastal Georgia is 1649843301. It was assigned to this organization in the NPPES registry on July 21, 2021. The provider is doing business as OMS of Coastal GA.

Where is Oral Maxillofacial Surgery Group Of Coastal Georgia located?

Oral Maxillofacial Surgery Group Of Coastal Georgia is located at 506 Us Highway 80 W, Pooler, GA 31322. The listed phone number is (912) 600-6060.

What is Oral Maxillofacial Surgery Group Of Coastal Georgia's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Oral Maxillofacial Surgery Group Of Coastal Georgia was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.