Individual
JEFFREY CRAIG GOURDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
211 PAIGE POINT RD, SEABROOK, SC 29940-2737
(843) 846-8148
Mailing address
721 OKATIE HWY, OKATIE, SC 29909-3963
(843) 987-7400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4022
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4022
—
SC
Enumeration date
04/26/2006
Last updated
06/16/2026
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