Dootson, Jeffrey

Dootson, Jeffrey is an individual health care provider with primary practice located at 9310 Two Notch Rd , Columbia SC 29223. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Dootson, Jeffrey can be contacted via phone (803) 699-5900.

Contact Information

Primary practice address
9310 Two Notch Rd Columbia SC 29223
Phone: (803) 699-5900
Fax: (803) 788-9036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3160 South Carolina

Profile Details

NPI number 1114985025
LBN Legal business name Dootson, Jeffrey
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jul 30th, 2012 - about 14 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 1114985025 NPPES
South Carolina MEDICAID Z31608
South Carolina Other 117364

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