Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THERESA SULLIVAN GONZALES, DMD, MS
ActiveDR. THERESA SULLIVAN GONZALES, DMD, MS is a Orthodontics & Dentofacial Orthopedics healthcare provider located in CHARLESTON, South Carolina. NPI 1912969502 is currently active in the NPPES registry. Verify at CMS.
Orthodontics & Dentofacial Orthopedics · CHARLESTON, SC
Registration Details
- NPI Number
- 1912969502
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 6, 2006 (20.315460251088 yrs)
- Last Updated
- Aug 31, 2016
- Licenses
-
17566 (TX)2648 (SC)
Practice Information
- Address
-
173 ASHLEY AVENUE MSC 507CHARLESTON, SC, 29401Browse SC providers · Browse ZIP 29401
- Phone
- 8437928723
- Fax
- 8437923697
- Primary Specialty
-
Orthodontics & Dentofacial Orthopedics
1223P0106X
- Additional Specialty
- Orthodontics & Dentofacial Orthopedics
Other Orthodontics & Dentofacial Orthopedics Providers in CHARLESTON, SC
| Name | Credential | NPI |
|---|---|---|
| DR. ANGELA JIYEON YOON | DDS | 1760486377 |
| DR. TINA RUSHING WOODS | D.M.D. | 1386758829 |
| DR. BRAD WESLEY NEVILLE | D.D.S. | 1275614828 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.