Theresa Sullivan Gonzales in Charleston - Oral And Maxillofacial Pathology
Theresa Sullivan Gonzales - NPI 1912969502
Theresa Sullivan Gonzales is a Oral And Maxillofacial Pathology in Charleston, South Carolina. Theresa Sullivan Gonzales practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Theresa Sullivan Gonzales is 1912969502. The last update date is 2016-08-31.
Theresa Sullivan Gonzales's current location address is 173 Ashley Avenue Msc 507, Charleston, South Carolina. You can contact this provider via phone number 8437928723 and fax number 8437923697. The mailing address for Theresa Sullivan Gonzales is 173 Ashley Avenue Msc 507, Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Sullivan Gonzales |
|---|---|
| Address | 173 Ashley Avenue Msc 507, Charleston, South Carolina |
| Phone Number | 8437928723 |
| Fax Number | 8437923697 |
| Sole Proprietor | N |
| Credentials | DMD, MS |
NPI Number Detail
| NPI Number | 1912969502 |
|---|---|
| Provider Enumeration Date | 2006-04-06 |
| Last Updated Date | 2016-08-31 |
Provider Mailing Address Detail
| Address | 173 Ashley Avenue Msc 507 |
|---|---|
| City | Charleston |
| State | South Carolina (SC) |
| Post Code | 29401 |
| Phone Number | 8437928723 |
| Fax Number | 8437923697 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Pathology |
|---|---|
| Taxonomy | 1223P0106X |
| Licence No | 17566 |
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Definition: The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these |
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What is the Theresa Sullivan Gonzales's unique identification number?
The Theresa Sullivan Gonzales has been assigned the NPI (National Provider Identifier) Number 1912969502 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Theresa Sullivan Gonzales located?
The Theresa Sullivan Gonzales is located at 173 Ashley Avenue Msc 507, Charleston, SC 29401.
What is the Theresa Sullivan Gonzales's area of specialization and corresponding taxonomy classification?
The Theresa Sullivan Gonzales's specialty field is Oral And Maxillofacial Pathology, and it falls under the taxonomy code 1223P0106X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1912969502 to Theresa Sullivan Gonzales?
The Centers for Medicare & Medicaid Services assigned the 1912969502 to Theresa Sullivan Gonzales on 2006-04-06.
As of what date were the Theresa Sullivan Gonzales's details last updated?
The information pertaining to the Theresa Sullivan Gonzales, including its address, specialty, and other details, was most recently updated on 2016-08-31.