Gazarov, Sergey
Gazarov, Sergey is an sole proprietor health care provider with primary practice located at 351 W 6Th Street, Bldg 440 Usa Dental Health Activity, Fort Stewart GA 31314. He recently has 3 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Gazarov, Sergey can be contacted via phone (912) 435-6249.Contact Information
Primary practice address
351 W 6Th Street, Bldg 440 Usa Dental Health Activity
Fort Stewart GA 31314
Phone: (912) 435-6249
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 9549 | South Carolina |
| Dental Providers / Dentist | 122300000X | 62674 | California |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 61302962 | Washington |
Profile Details
| NPI number | 1194150946 |
|---|---|
| LBN Legal business name | Gazarov, Sergey |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2013 |
| Last updated | Dec 24th, 2022 - about 3 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.
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