STEPHEN E GOSSETT (NPI# 1578688230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578688230 |
Entity Type | Individual |
Full Name | STEPHEN E GOSSETT |
Credential | DMD |
Practice Address |
3000 Two Notch Rd. Small Smiles Dental Centers of Columbia, LLC Columbia SC 29204 |
Mailing Address |
16 Arcade Unit 194787 Cshm Nashville TN 37219-2055 |
Practice Telephone | 8036919930 |
Practice Fax Number | 8036919322 |
Mailing Telephone | 6157500343 |
Mailing Fax Number | 6509861705 |
Enumeration Date | 2007-03-20 |
Last Update Date | 2014-02-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
2495 | SC | Dental Providers |
Street Address |
3000 TWO NOTCH RD. SMALL SMILES DENTAL CENTERS OF COLUMBIA, LLC |
City | COLUMBIA |
State | SC |
Zip Code | 29204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
Find all providers in zip 29204 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376814723 | Nabil Beaini | Dentist | 201 W Broadway Ste 5a, Columbia, MO 65203-3842 | 2012-01-17 |
1811126261 | Keyla Ivette Torres | Dentist | 6395 Dobbin Rd Ste 208, Columbia, MD 21045-4759 | 2009-07-07 |
1518009026 | Donald William Hogan | Dentist | 7007 Brookfield Rd, Columbia, SC 29223-2212 | 2007-02-12 |
1609945674 | Russell Leon Harrison | Dentist | 33 E Broadway, Ste. 290, Columbia, MO 65203-4207 | 2006-11-06 |
1134211261 | William Cleveland James Jr. | Dentist | 2120 N Beltline Blvd, Columbia, SC 29204-3905 | 2006-09-28 |
1598856353 | South Carolina Periodontology Pa | Dentist | 2120 N Beltline Boulevard, Columbia, SC 29204-3905 | 2006-09-27 |
1700800497 | Sohee Kim Park | Dentist | 456 Clemson Rd, Columbia, SC 29229-7925 | 2006-07-26 |
1548282130 | Columbia Periodontal Assoicates, LLC | Dentist | 3527 Bush River Rd, Columbia, SC 29210-4805 | 2006-07-24 |
1427029511 | Gregg Walker Mckenzie | Dentist | 124 Alpine Cir., Columbia, SC 29223 | 2006-01-28 |
1497746796 | James Lewis Dickson | Dentist | 104 Berrywood Dr, Columbia, TN 38401-6408 | 2005-11-04 |
Find all providers in COLUMBIA |
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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.