Dawson, Gordon Roux
Dawson, Gordon Roux is an individual health care provider with primary practice located at 209 W 4Th North St , Summerville SC 29483-6541. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dawson, Gordon Roux can be contacted via phone (843) 873-5921.Contact Information
Primary practice address
209 W 4Th North St
Summerville SC 29483-6541
Phone: (843) 873-5921
Fax: (843) 873-5922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2859 | South Carolina |
Profile Details
| NPI number | 1659329548 |
|---|---|
| LBN Legal business name | Dawson, Gordon Roux |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659329548 | NPPES |
| South Carolina | MEDICAID | ZA9731 |
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