Gauthier, Serge
Gauthier, Serge is an individual health care provider with primary practice located at 513 Red Bank Rd , Goose Creek SC 29445-4507. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gauthier, Serge can be contacted via phone (843) 797-1161.Contact Information
Primary practice address
513 Red Bank Rd
Goose Creek SC 29445-4507
Phone: (843) 797-1161
Fax: (843) 797-1162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DGD.7059 GD | South Carolina |
Profile Details
| NPI number | 1215215439 |
|---|---|
| LBN Legal business name | Gauthier, Serge |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2011 |
| Last updated | Oct 30th, 2015 - about 9 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 | 1215215439 | NPPES |
| South Carolina | MEDICAID | ZX7059 |
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