MEDICARE: DR. SHAUNA T GERSTNER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DGD.10843	SC

General Provider Information

NPI Number	:	1437992443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAUNA T GERSTNER DDS

Provider Business Mailing Address
First Line	:	644 SEMAHT ST
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29412-2725
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1223 BOONE HILL RD
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29483-2403
Country	:	US
Telephone Number	:	843-871-9924
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2024
Last Update Date	:	01/20/2026

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