Oral Maxillofacial Surgery Group of Coastal Georgia
NPI 1649843301 · Oral and Maxillofacial Surgery (Dentist) · Pooler, GA
Oral Maxillofacial Surgery Group of Coastal Georgia is a Oral and Maxillofacial Surgery (Dentist) organization in Pooler, GA (NPI 1649843301).
Provider details
- NPI number
- 1649843301
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Nicholas Theodotou, Oral Surgeon(912) 600-6060
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Oms of Coastal Ga
Registry dates
- Enumerated
- 2021-07-21
- Last updated
- 2021-07-21
- Certified
- 2021-07-21
Frequently asked questions
- What is Oral Maxillofacial Surgery Group of Coastal Georgia's NPI number?
- Oral Maxillofacial Surgery Group of Coastal Georgia's National Provider Identifier (NPI) is 1649843301, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oral Maxillofacial Surgery Group of Coastal Georgia?
- Oral Maxillofacial Surgery Group of Coastal Georgia is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Oral Maxillofacial Surgery Group of Coastal Georgia located?
- Oral Maxillofacial Surgery Group of Coastal Georgia's practice location on file with NPPES is 506 US Highway 80 W, Pooler, GA 31322-2104.
- What is Oral Maxillofacial Surgery Group of Coastal Georgia's phone number?
- The practice phone number listed in the NPPES registry for Oral Maxillofacial Surgery Group of Coastal Georgia is (912) 600-6060.
- Who is the authorized official for Oral Maxillofacial Surgery Group of Coastal Georgia?
- The authorized official listed on Oral Maxillofacial Surgery Group of Coastal Georgia's NPPES record is Nicholas Theodotou, Oral Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oral Maxillofacial Surgery Group of Coastal Georgia's NPI active?
- Yes — Oral Maxillofacial Surgery Group of Coastal Georgia's NPI (1649843301) is active in the NPPES registry as of the last update on 2021-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.