Individual
DR. SERGEY GAZAROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
351 W 6TH STREET, BLDG 440, USA DENTAL HEALTH ACTIVITY, FORT STEWART, GA 31314
(912) 435-6249
Mailing address
BLDG 38717 38TH STREET, USA DENTAC, FORT GORDON, GA 30905
(706) 787-6927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
62674
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9549
SC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
61302962
WA
Other
Enumeration date
09/12/2013
Last updated
12/24/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us