Dawson, Gordon Roux

Dawson, Gordon Roux is an individual health care provider with primary practice located at 209 W 4Th North St , Summerville SC 29483-6541. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dawson, Gordon Roux can be contacted via phone (843) 873-5921.

Contact Information

Primary practice address
209 W 4Th North St Summerville SC 29483-6541
Phone: (843) 873-5921
Fax: (843) 873-5922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2859 South Carolina

Profile Details

NPI number 1659329548
LBN Legal business name Dawson, Gordon Roux
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 13th, 2026 - about 4 months 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 1659329548 NPPES
South Carolina MEDICAID ZA9731

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