Organization
CHATHAM ORAL SURGERY PC
Active
Other names
Rincon OMS LLC/87-4082939, Chatham Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C WILSON DMD (OWENR)
(912) 354-1515
Entity
Organization
Contact information
Practice address
613 TOWNE PARK DR W STE 301, RINCON, GA 31326-5258
(912) 354-1515
(912) 354-8181
Mailing address
501 EISENHOWER DR, SAVANNAH, GA 31406-2668
(912) 354-1515
(912) 354-8181
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
10/28/2024
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