Provider Demographics
NPI:1922189497
Name:DOSHIER, REBECCA JEAN
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:JEAN
Last Name:DOSHIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1656 POE AVE
Mailing Address - Street 2:
Mailing Address - City:SULLIVANS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29482
Mailing Address - Country:US
Mailing Address - Phone:843-819-5855
Mailing Address - Fax:
Practice Address - Street 1:DR THOMAS WEIR
Practice Address - Street 2:113 WAPOO CREEK DRIVE
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412
Practice Address - Country:US
Practice Address - Phone:843-762-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3697124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist