Organization
DR. JEFFERY R. GOSNEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY REED GOSNEY DMD (OWNER)
(803) 637-6060
Entity
Organization
Contact information
Practice address
704 COLUMBIA RD, EDGEFIELD, SC 29824-4309
(803) 637-6060
(803) 637-6058
Mailing address
704 COLUMBIA RD, EDGEFIELD, SC 29824-4309
(803) 637-6060
(803) 637-6058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z28658
—
SC
Enumeration date
09/27/2007
Last updated
09/27/2007
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