STACY NICOLE SHERBUTT (NPI# 1780246553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780246553 |
| Entity Type | Individual |
| Full Name | STACY NICOLE SHERBUTT |
| Credential | RDH |
| Practice Address |
Naval Weapons Statiom 316 Red Bank Rd Goose Creek SC 29466 |
| Mailing Address |
2170 Snyder Cir Apt 213 Mount Pleasant SC 29466-7818 |
| Practice Telephone | 8437944508 |
| Mailing Telephone | 8103004487 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 11330 | SC | Dental Providers |
| Street Address |
NAVAL WEAPONS STATIOM 316 RED BANK RD |
| City | GOOSE CREEK |
| State | SC |
| Zip Code | 29466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
| 1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
| 1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
| 1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
| 1023401239 | Avani Patel | Specialist/Technologist, Other | 1300 Park West Blvd., Madison At Park West Apt 107, Mount Pleasant, SC 29466 | 2015-03-12 |
| Find all providers in zip 29466 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801360599 | Julie A Harvey | Dental Hygienist | 172 Chad Dr, Ridgeland, SC 29936-7834 | 2019-01-15 |
| 1902309974 | Kathleen Ann Gehrman | Dental Hygienist | 113 Wappoo Creek Dr. Suite #5, James Island Dental Associates, Charleston, SC 29412-2136 | 2018-03-15 |
| 1578913844 | Ursula Lanette Grantham | Dental Hygienist | 216 Barnetby Way, Columbia, SC 29229-9599 | 2016-06-17 |
| 1750748935 | Stephanie Tucker Smith | Dental Hygienist | 223 E Powers Dr, Easley, SC 29640-2534 | 2016-01-20 |
| 1275923617 | Caroline Skellie | Dental Hygienist | 145 Cynthia Lane, Campobello, SC 29322 | 2015-01-23 |
| 1083014039 | Jennifer Lasseter | Dental Hygienist | 115 Maxie Rd, Lexington, SC 29072-7618 | 2014-08-27 |
| 1508205717 | Amanda Marie Ashcraft | Dental Hygienist | 113 Wappoo Creek Drive Suite 5, James Island Dental Associates Pa, Charleston, SC 29412 | 2013-06-20 |
| 1902242936 | Gertrude Katrina Deas | Dental Hygienist | 111 Dj Eboni Ln, Summerville, SC 29483-3321 | 2013-05-16 |
| 1982913752 | Park Place Dentistry, LLC | Dental Hygienist | 203b Central Park Ln, Seneca, SC 29678-1156 | 2010-09-28 |
| 1750695292 | Tracey Brown Buddin | Dental Hygienist | 320 Ridge St, Bishopville, SC 29010-1038 | 2010-07-26 |
| Find all providers with the same taxonomy | ||||
| City | GOOSE CREEK |
| Zip Code | 29466 |
Please comment or provide details below to improve the information on STACY NICOLE SHERBUTT.
| 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.