IndividualActive
Theresa Gonzales, DMD, MS
NPI 1912969502 · Oral and Maxillofacial Pathology Dentistry · Charleston, SC
Provider details
- NPI number
- 1912969502
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DMD, MS
- Sex
- Female
- Sole proprietor
- No
- License
- 17566 (TX)
Practice location
173 Ashley Avenue Msc 507
Charleston, SC 29401
Phone: (843) 792-8723
Fax: (843) 792-3697
Mailing address
Po Box 751461
Charlotte, NC 28275-1461
Registry dates
- Enumerated
- 2006-04-06
- Last updated
- 2016-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.