DR. STACY RONALD WILKERSON (NPI# 1093703928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093703928 |
| Entity Type | Individual |
| Full Name | DR. STACY RONALD WILKERSON |
| Credential | DDS |
| Practice Address |
1480 Florence Rd Savannah TN 38372-5205 |
| Practice Telephone | 7319255396 |
| Practice Fax Number | 7319255349 |
| Mailing Telephone | 7319255396 |
| Mailing Fax Number | 7319255349 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS7116 | TN | Dental Providers |
| Street Address |
1480 FLORENCE RD |
| City | SAVANNAH |
| State | TN |
| Zip Code | 38372-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346052 | Amy Johnson | Dental Hygienist | 1480 Florence Rd, Savannah, TN 38372-5205 | 2020-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282950 | Sherry Ann Schoonover | Pharmacist | 175 Ji Bell Lane, Savannah, TN 38372 | 2018-04-15 |
| 1538671631 | Qualls Harbin Family Medicine LLC | Nurse Practitioner | 255 Riverside Drive, Savannah, TN 38372 | 2017-10-30 |
| 1912215500 | John D. Lay Md | Family Medicine | 855 Wayne Rd Ste B, Savannah, TN 38372 | 2010-09-17 |
| 1285942144 | David Allen Carroll | Pharmacist | 835 Pickwick Street, Savannah, TN 38372 | 2010-09-14 |
| 1972810349 | Teresa Carol Williams | Pharmacist | Kroger At 775 Pickwick Rd, Savannah, TN 38372 | 2010-09-08 |
| 1619128089 | Robert L. Ginn | Dietitian, Registered | 935 Wayne Rd., Savannah, TN 38372 | 2008-10-03 |
| 1821246786 | Delca Sue Rickman | Social Worker | 765 Florence Rd., Savannah, TN 38372 | 2008-09-04 |
| 1215119102 | Grimes - Bevis Chiropractic, Pllc | Chiropractor | 1940 Pickwick St., South, Savannah, TN 38372 | 2007-12-03 |
| 1851593594 | Melanie A Reaves Pllc | Nurse Practitioner | 1440 Pickwick St, Savannah, TN 38372 | 2007-06-04 |
| 1730300690 | William F. Conway, Md, Inc | Internal Medicine | 855 Wayne Road, Suite A1, Savannah, TN 38372 | 2007-05-01 |
| Find all providers in zip 38372 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1184117392 | Scott Carl Harman | Dentist | 22 Park of Commerce Way Ste 1, Savannah, GA 31405-7479 | 2018-06-12 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1255783353 | Lindsay H English | Dentist | 310 Eisenhower Dr Bldg No8, Savannah, GA 31406 | 2016-07-13 |
| 1720442627 | Gamble Dentalsmart Eb5 Vii PC | Dentist | 110 Mall Blvd, Savannah, GA 31406-4728 | 2016-04-07 |
| 1407297799 | Nichole R Madison | Dentist | 107 Fahm St, Savannah, GA 31401-2391 | 2013-07-15 |
| 1548528045 | Morgan Wimbish Murray | Dentist | 721 E 66th St, Savannah, GA 31405-4505 | 2012-05-03 |
| 1265741201 | Laura Hawkins Hissam | Dentist | 5420 Paulsen Street, Savannah, GA 31405 | 2010-09-24 |
| 1801124862 | Leon Edward Felps | Dentist | 6602 Abercorn St., Suite 101, Savannah, GA 31405 | 2009-12-01 |
| 1508099490 | Hetal Patel | Dentist | 101 Little Neck Rd, Savannah, GA 31419-8828 | 2009-08-26 |
| Find all providers in SAVANNAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.