Organization
CHATHAM ORAL SURGERY PC
Active
Other names
Chatham Oral Surgery, PC, Pooler OMS LLC/87-3972136
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C WILSON DMD (OWNER)
(912) 354-1515
Entity
Organization
Contact information
Practice address
1000 TOWNE CENTER BLVD STE 103, POOLER, GA 31322-4052
(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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