NPI age
17 years
Enumerated 2009-03-23
● Active
Type 1 · Individual
DR. Nicholas Theodotou, BDS, DDS
Theodotou is 1 of 4 dentist providers in Pooler and 1 of 358 in Georgia.
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-08-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 358 active dentist providers in Georgia.
NPI age
17 years
≈ at median (18 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-03Enumerated in NPPES
2009
2026
Where they practice
Practice location
506 Us Highway 80 W
Pooler, GA 313222104
Mailing address
506 Us Highway 80 W
Pooler, GA 313222104
Specialties
-
Dentist PrimaryThe 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.
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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