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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578639613 NPPES
South Carolina MEDICAID ZX3858

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