Keith, James Daulton

Keith, James Daulton is an individual health care provider with primary practice located at 33A Gamecock Ave Periodontal Associates, Pa, Charleston SC 29407-3369. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Keith, James Daulton can be contacted via phone (843) 571-0853.

Contact Information

Primary practice address
33A Gamecock Ave Periodontal Associates, Pa Charleston SC 29407-3369
Phone: (843) 571-0853
Fax: (843) 769-7342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 1487 South Carolina

Profile Details

NPI number 1245355452
LBN Legal business name Keith, James Daulton
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
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 1245355452 NPPES
South Carolina Other 1487 STATE LICENSE NUMBER

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