Individual
GOKHAN BARIS OZDENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, DSC
Contact information
Practice address
6420 GARNERS FERRY RD STE X, COLUMBIA, SC 29209-1632
(803) 661-8412
Mailing address
6420 GARNERS FERRY RD STE X, COLUMBIA, SC 29209-1632
(803) 661-8412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11871
NC
1223G0001X
General Practice Dentistry
Primary
9559
SC
124Q00000X
Dental Hygienist
DH89933
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11871
NC STATE OF DENTAL BOARD
NC
01
—
9559
SC DENTAL BOARD
SC
Enumeration date
07/20/2020
Last updated
07/20/2020
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