Individual
DR. JEFFREY DOOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9310 TWO NOTCH RD, COLUMBIA, SC 29223
(803) 699-5900
(803) 788-9036
Mailing address
9310 TWO NOTCH RD, COLUMBIA, SC 29223
(803) 699-5900
(803) 788-9036
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3160
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117364
UNITED CONCORDIA
—
05
—
Z31608
—
SC
Enumeration date
05/02/2006
Last updated
07/30/2012
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