Individual provider · Type 1 NPI

Theresa Sullivan Gonzales, DMD, MS

Oral and Maxillofacial Pathology Dentistry · Charleston, SC

NPI number 1912969502 Active

Practice location

173 Ashley Avenue Msc 507
Charleston, SC 29401

Fax (843) 792-3697

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Pathology Dentistry 1223P0106X17566 (TX)
Oral and Maxillofacial Pathology Dentistry Primary 1223P0106X2648 (SC)

Oral and Maxillofacial Pathology Dentistry: The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other e…

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About NPI 1912969502

Theresa Sullivan Gonzales, DMD, MS's National Provider Identifier is 1912969502, issued on Apr 6, 2006. The primary taxonomy on file is Oral and Maxillofacial Pathology Dentistry (1223P0106X), and the practice location is in Charleston, SC. The record was last updated on Aug 31, 2016.