Theresa Gonzales, DMD, MS
Theresa Gonzales, DMD, MS is a provider specialising in Oral and Maxillofacial Pathology Dentistry in Charleston, SC, registered under NPI 1912969502.
Getting there
The practice address on file is 173 ASHLEY AVENUE MSC 507, Charleston, SC 29401. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 2648 | SC | Oral and Maxillofacial Pathology Dentistry primary |
| 17566 | TX | Oral and Maxillofacial Pathology Dentistry |
Licences are recorded in 2 states: SC, TX. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Oral Surgery
- PAC ID
- 3375760093
- Enrollment ID
- I20141219001365
Medicare enrolment is recorded as approved under the provider type Practitioner - Oral Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: South Carolina and Texas. The practice address on file is in Charleston, SC, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 2648
- Specialty
- Oral and Maxillofacial Pathology…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Oral and Maxillofacial Pathology covers
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 examinations. NUCC Health Care Provider Taxonomy, code 1223P0106X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry Oral and Maxillofacial Pathology | 2648 | SC | primary |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry Oral and Maxillofacial Pathology | 17566 | TX |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1912969502 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 6, 2006 |
| Last updated | Aug 31, 2016 |
| Status | Active |
| Sole proprietor | No |
| Credential | DMD, MS |
| Practice address |
173 ASHLEY AVENUE MSC 507 Charleston, SC 29401 (843) 792-8723 Fax (843) 792-3697 |
| Mailing address |
PO BOX 751461 Charlotte, NC 28275 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 1 | 2 | 9 | 6 | 9 | 5 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 2 | 2 | 9 | 6 | 9 | 5 | 0 |
Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.