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STOCKTON FAMILY & COSMETIC DENTISTRY PA NPI 1689764599


NPI Information

NPI: 1689764599
Provider Name: STOCKTON FAMILY & COSMETIC DENTISTRY PA

Other Name: STOCKTON FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5219 TWO NOTCH ROAD
COLUMBIA, SC
ZIP 29204
Phone: (803) 735-9446
Get Directions

STOCKTON FAMILY & COSMETIC DENTISTRY PA is a general practice dentist in Columbia, SC. The provider is 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. STOCKTON FAMILY & COSMETIC DENTISTRY PA NPI is 1689764599. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Stockton Family Dentistry.

The provider's business location address is:

5219 TWO NOTCH ROAD
COLUMBIA, SC
ZIP 29204
Phone: (803) 735-9446
Fax: (803) 735-9813

The provider's authorized official is Ruges F Stockton .
The authorized official title is Vice President and has the following contact phone number (803) 735-5446.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 5/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice3901SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZX3901MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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