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Contact Information

DANIELLE M. GOUGH, DMD, PLLC
1124 GALLERY PARK BOULEVARD
WILMINGTON, NC28412
 Phone: 910-218-1222
 Fax: 844-266-2407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DANIELLE M. GOUGH, DMD, PLLC

NPI # 1043852148
LBN Legal business name DANIELLE M. GOUGH, DMD, PLLC
Authorized official SOFIA FANTI - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2019
Last updated 10/10/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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