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Dr. Nicholas Theodotou, BDS,DDS
Oral and Maxillofacial Surgery (Dentist) in Pooler, Georgia
NPI 1174764039

Nicholas Theodotou is a Oral and Maxillofacial Surgery (Dentist) based in Pooler, GA and is specialized in Oral and Maxillofacial Surgery. Nicholas Theodotou practices in Pooler, GA and has the professional credentials of BDS,DDS. The NPI Number for Nicholas Theodotou is 1174764039 and holds a License No. DN011530 (Georgia).

The current practice location address for Nicholas Theodotou is 506 Us Highway 80 W, Pooler, GA and can be reached out via phone at 912-600-6060.

Location: 506 Us Highway 80 W, Pooler, GA, 31322-2104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174764039
Provider Name
Nicholas Theodotou
Credential
BDS,DDS
Provider Entity Type
Individual
Gender
Male
Address
506 Us Highway 80 W, Pooler, GA, 31322-2104
Phone Number
912-600-6060
Fax Number
Provider Enumeration Date
03/23/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
506 Us Highway 80 W
City
Pooler
State
Georgia
Zip
31322-2104
Phone Number
912-600-6060
Fax Number
person
Provider Business Mailing Address Details
Address
506 Us Highway 80 W
City
Pooler
State
Georgia
Zip
31322-2104
Phone Number
912-600-6060
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN011530 (Georgia)
Definition
The specialty of dentistry which includes 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.
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