Gomez, Jamie Cross
Gomez, Jamie Cross is an individual health care provider with primary practice located at 139 Whiteford Way , Lexington SC 29072-7965. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Gomez, Jamie Cross can be contacted via phone (803) 951-9100.Contact Information
Primary practice address
139 Whiteford Way
Lexington SC 29072-7965
Phone: (803) 951-9100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | SC3858 | South Carolina |
Profile Details
NPI number | 1578639613 |
---|---|
LBN Legal business name | Gomez, Jamie Cross |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 28th, 2006 |
Last updated | Jul 8th, 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 | 1578639613 | NPPES |
South Carolina | MEDICAID | ZX3858 |
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