Individual provider · Type 1 NPI
Nicholas Theodotou, BDS, DDS
Oral and Maxillofacial Surgery (Dentist) · Pooler, GA
NPI number
1174764039
Active
Practice location
506 US Highway 80 W
Pooler, GA 31322-2104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DN011530 (GA) |
Oral and Maxillofacial Surgery (Dentist): 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.
2 other providers at this address
About NPI 1174764039
Nicholas Theodotou, BDS, DDS's National Provider Identifier is 1174764039, issued on Mar 23, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Pooler, GA. The record was last updated on Aug 9, 2021.