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JEANINE ALICIA GOURDINE D.M.D.
NPI 1427014786
Dentist - General Practice in Summerville, SC

Active since April 25, 2006
100 OMALLEY DR, SUITE B, SUMMERVILLE, SC 29483(843) 261-0123(843) 261-0125 Get Directions Write a Review

NPPES record last updated: September 13, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 13, 2017, Nov 1, 2016 (2 updates tracked since 2016).

About Jeanine Alicia Gourdine D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANINE ALICIA GOURDINE D.M.D. (NPI 1427014786) is an individual general practice provider in Summerville, South Carolina, licensed in South Carolina (4061) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1427014786
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJEANINE ALICIA GOURDINECredential: D.M.D.
Location Address100 OMALLEY DR, SUITE BSummerville, SC 29483-5635
Mailing AddressPo Box 1090, Suite BHartsville, SC 29551-1090 · (843) 857-0111
Phone(843) 261-0123
Fax(843) 261-0125
Sole ProprietorYes
Enumeration DateApril 25, 2006
Last NPPES UpdateSeptember 13, 20172 updates tracked since enumeration
✔ NPI 1427014786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · 4061
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
100 OMALLEY DR, Summerville, SC 29483
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Other Identifiers 1

MedicaidZX4061SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SMILE CENTER OF KNIGHTSVILLE
Dentist (General Practice)
100 OMALLEY DR, SUITE B
SUMMERVILLE, SC 29483
Berkeley County (843) 261-0123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanine Gourdine's NPI number?

The NPI number for Jeanine Gourdine is 1427014786. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Jeanine Gourdine located?

Jeanine Gourdine practices at 100 Omalley Dr Suite B, Summerville, SC 29483. The listed phone number is (843) 261-0123.

What is Jeanine Gourdine's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jeanine Gourdine accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Jeanine Gourdine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeanine Gourdine was last updated on September 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.