Individual
DR. GORDON ROUX DAWSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
209 W 4TH NORTH ST, SUMMERVILLE, SC 29483-6541
(843) 873-5921
(843) 873-5922
Mailing address
209 W 4TH NORTH ST, SUMMERVILLE, SC 29483-6541
(843) 873-5921
(843) 873-5922
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2859
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9731
—
SC
Enumeration date
05/04/2006
Last updated
07/09/2007
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