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Contact Information

JOHN B GOUCH SR, DDS
3616 MICHIGAN AVE
CHARLOTTE, NC28215
 Phone: 704-537-6636
 Fax: 704-537-5005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JOHN B GOUCH SR · (Male)

NPI Number 1043270846
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 03/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 3922
  • NC Medicaid 8993292
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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