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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 2 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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