Ingraham, Gabriel Buchanan

Ingraham, Gabriel Buchanan is an individual health care provider with primary practice located at 108 South Cleveland St , Kershaw SC 29067-1403. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Prosthodontics. Dental Providers / Dentist is his primary health care specialty. Ingraham, Gabriel Buchanan can be contacted via phone (803) 475-9440.

Contact Information

Primary practice address
108 South Cleveland St Kershaw SC 29067-1403
Phone: (803) 475-9440
Fax: (803) 475-3927
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1940 South Carolina
Dental Providers / Prosthodontics 1223P0700X 242 South Carolina

Profile Details

NPI number 1265553846
LBN Legal business name Ingraham, Gabriel Buchanan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Jul 8th, 2007 - about 19 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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