Individual
DR. STEVEN G GOLLEHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DDS FACS
Contact information
Practice address
301 EAST WENDOVER AVE, SUITE 111, GREENSBORO, NC 27401
(336) 273-1000
(336) 275-5519
Mailing address
301 EAST WENDOVER AVE SUITE 111, PIEDMONT ORAL MAXILLOFACIAL FAC CTR, GREENSBORO, NC 27401
(336) 273-1000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6514
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128EJ
BCBS
NC
05
—
89902GJ
—
NC
05
—
ZN6514
—
SC
Enumeration date
02/16/2006
Last updated
07/08/2007
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