Lisbeth W Poag, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3503-0509PD Issued in SC

Practice address

500 Physicians LN
Sumter, SC 29150-3370

Phone

(803) 775-4793

Fax

(803) 934-9943

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolina Children'S Dentistry, LLC

  • Pediatric Dentistry
  • Sumter, SC
  • NPI 1528112398
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1013960616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PHYSICIANS LN",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291503370",
            "telephone_number": "803-775-4793",
            "fax_number": "803-934-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PHYSICIANS LN",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291503370",
            "telephone_number": "803-775-4793",
            "fax_number": "803-934-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POAG",
        "first_name": "LISBETH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "3503-0509PD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z35034",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vijay Paul Pinto, M.D.
• Mickelle O'Nea Pitt
• Yvonne Pittman
• Plastic & Reconstructive Surgery of Sumter, PA
• Play Therapy of Sumter
• Brianna Polson
• Eric Laron Portee, LPC-A, ADC-IP, NCC
• Racheal Denise Posey, NP
• Sandra M Posey
• Morris Vanderbilt Poston Jr.

• Pediatric Dentistry in Sumter, SC
• Providers in Sumter, SC by specialty
• Pediatric Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.