Dr. Jeffery R. Gosney

Organization Active NPI General Practice Dentistry · Edgefield, SC

NPI 1003003674 · NPPES record last updated Sep 27, 2007

Key facts

NPI
1003003674
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
DR. JEFFERY R. GOSNEY
Practice address
704 Columbia Rd
Edgefield, SC 29824-4309
Phone
(803) 637-6060
Fax
(803) 637-6058
NPI assigned
Sep 27, 2007
Organization subpart
No

Authorized official

Name
Dr. Jeffery Reed Gosney, DMD
Title
Owner
Phone
(803) 637-6060

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Dr Jeffery R Gosney (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

704 Columbia Rd
Edgefield, SC 29824-4309

Mailing address

704 Columbia Rd
Edgefield, SC 29824-4309
Phone (803) 637-6060

Other identifiers

IdentifierTypeStateIssuer
Z28658MedicaidSC

Other providers in Edgefield, SC

All providers in Edgefield, SC · General Practice Dentistry in South Carolina

Sources for this page

Verify at the official NPI Registry.