MR. STEFAN JAMES WILKES (NPI# 1629574595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629574595 |
| Entity Type | Individual |
| Full Name | MR. STEFAN JAMES WILKES |
| Credential | DMD |
| Practice Address |
150 Country Club Rd Spartanburg SC 29302-3364 |
| Mailing Address |
411 Providence Ln Mc Cormick SC 29835-4230 |
| Practice Telephone | 8645833717 |
| Practice Fax Number | 8645736067 |
| Mailing Telephone | 8642939454 |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2020-05-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9573 | SC | Dental Providers |
| Street Address |
150 COUNTRY CLUB RD |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29302-3364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396870945 | Philip Carlton Morrow | Dentist | 150 Country Club Rd, Spartanburg, SC 29302-3364 | 2007-02-23 |
| 1831395086 | Jason J Davis | Dentist | 150 Country Club Rd, Spartanburg, SC 29302-3364 | 2007-06-25 |
| 1952528127 | Carolina Smiles, LLC | Dentist | 150 Country Club Rd, Spartanburg, SC 29302-3364 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
| Find all providers in zip 29302 | ||||
| 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 |
|---|---|---|---|---|
| 1891312039 | Prince B Moses | Dentist | 631 N Church St, Spartanburg, SC 29303-3046 | 2020-07-04 |
| 1316563133 | Todd Garrett Woollen | Dentist | 272 Cedar Springs Rd, Spartanburg, SC 29302-4643 | 2020-06-17 |
| 1790207801 | Pine Street Dental LLC | Dentist | 364 S Pine St Ste A101, Spartanburg, SC 29302-2654 | 2017-07-10 |
| 1932566197 | Gamble Dentalsmart PC | Dentist | 2127 E Main St, Suite E, Spartanburg, SC 29307-1454 | 2016-01-19 |
| 1437524469 | Hillcrest Family and Cosmetic Dentistry, LLC | Dentist | 2088 E Main St, Suite A & B, Spartanburg, SC 29307-1425 | 2015-12-02 |
| 1942601174 | Carolina Dental Docs LLC General Dentistry for Kids | Dentist | 1460 John B White Sr Blvd, Ste 1-c, Spartanburg, SC 29306 | 2014-09-08 |
| 1770915530 | Steven Andrew Richards | Dentist | 270 Cedar Springs Rd, Spartanburg, SC 29302-4654 | 2013-08-05 |
| 1659609485 | Regenesis Organzation Community Health Center | Dentist | 550 S Church Street, Unit 2, Spartanburg, SC 29306-3306 | 2009-12-07 |
| 1396972618 | Paul Michael Gibas Jr. | Dentist | 1585 Skylyn Drive, Spartanburg, SC 29307 | 2009-06-12 |
| 1225285646 | Radiant Dentistry | Dentist | 1440 Fernwood Glendale Rd, Spartanburg, SC 29307-3079 | 2008-08-27 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29302 |
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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.