Gatewood, Madison

Gatewood, Madison is an sole proprietor health care provider with primary practice located at 2218 3Rd St S , Jacksonville Beach FL 32250-4021. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / General Practice is her primary health care specialty. Gatewood, Madison can be contacted via phone (972) 361-0600.

Contact Information

Primary practice address
2218 3Rd St S Jacksonville Beach FL 32250-4021
Phone: (972) 361-0600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN28126 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1477244804
LBN Legal business name Gatewood, Madison
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2023
Last updated Jun 15th, 2023 - about 2 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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