CHATHAM ORAL SURGERY PC NPI 1811640790

NPI Information

  • NPI: 1811640790
  • Provider Name: CHATHAM ORAL SURGERY PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: CHATHAM ORAL SURGERY, PC
  • Address: 1000 TOWNE CENTER BLVD STE 103
    POOLER, GA
    ZIP 31322
  • Phone: (912) 354-1515

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NPI Details

CHATHAM ORAL SURGERY PC is an oral and maxillofacial surgery dentist in Pooler, GA. The provider is 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. CHATHAM ORAL SURGERY PC NPI is 1811640790. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Chatham Oral Surgery, Pc.

The provider's business location address is:

1000 TOWNE CENTER BLVD STE 103
POOLER, GA
ZIP 31322-052
Phone: (912) 354-1515
Fax: (912) 354-8181

The provider's authorized official is Michael C Wilson .
The authorized official title is Owner and has the following contact phone number (912) 354-1515.

The enumeration date for this NPI number is 1/31/2022 and was last updated on 10/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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