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Jeanine Alicia Gourdine, DMD
General Practice Dentistry in Summerville, South Carolina
NPI 1427014786

Jeanine Alicia Gourdine is a General Practice Dentistry based in Hartsville, SC and is specialized in General Practice. Jeanine Alicia Gourdine practices in Summerville, SC and has the professional credentials of DMD. The NPI Number for Jeanine Alicia Gourdine is 1427014786 and holds a License No. 4061 (South Carolina).

The current practice location address for Jeanine Alicia Gourdine is 100 Omalley Dr, Summerville, SC and can be reached out via phone at 843-261-0123 and via fax at 843-261-0125. You can also correspond with Jeanine Alicia Gourdine through the mailing address at PO BOX 1090, HARTSVILLE, SC - 29551-1090 (mailing address contact number: 843-857-0111).

Location: 100 Omalley Dr, Summerville, SC, 29551-1090
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427014786
Provider Name
Jeanine Alicia Gourdine
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
100 Omalley Dr, Summerville, SC, 29551-1090
Phone Number
843-261-0123
Fax Number
843-261-0125
Provider Enumeration Date
04/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZX4061 05 SC
institution
Provider Business Practice Location Address Details
Address
100 Omalley Dr
City
Summerville
State
South Carolina
Zip
29483-5635
Phone Number
843-261-0123
Fax Number
843-261-0125
person
Provider Business Mailing Address Details
Address
Po Box 1090
City
Hartsville
State
South Carolina
Zip
29551-1090
Phone Number
843-857-0111
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4061 (South Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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