Gonzales, Theresa Sullivan
Gonzales, Theresa Sullivan is an individual health care provider with primary practice located at 173 Ashley Avenue Msc 507 , Charleston SC 29401. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as her primary health care specialty. Gonzales, Theresa Sullivan can be contacted via phone (843) 792-8723.Contact Information
Primary practice address
173 Ashley Avenue Msc 507
Charleston SC 29401
Phone: (843) 792-8723
Fax: (843) 792-3697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 17566 | Texas |
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 2648 | South Carolina |
Profile Details
| NPI number | 1912969502 |
|---|---|
| LBN Legal business name | Gonzales, Theresa Sullivan |
| Credentials | DMD, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Aug 31st, 2016 - about 8 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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