Stockton Family & Cosmetic Dentistry PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1967 Issued in SC

Legal business name

STOCKTON FAMILY & COSMETIC DENTISTRY PA

Practice address

5219 Two Notch Rd
Columbia, SC 29204

Phone

(803) 735-9446

Fax

(803) 735-9813

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Clyde Stockton

Title

President

Phone

(803) 735-9446

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Stockton Family Cosmetic Dentistry PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stockton Family & Cosmetic Dentistry PA

  • General Practice Dentistry
  • Columbia, SC
  • NPI 1689764599
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruges F Stockton

  • Dentist
  • Columbia, SC
  • NPI 1891912457
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1124118088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29204",
            "telephone_number": "803-735-9446",
            "fax_number": "803-735-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29204",
            "telephone_number": "803-735-9446",
            "fax_number": "803-735-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKTON FAMILY & COSMETIC DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "STOCKTON",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-735-9446",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1967",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3901",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z19677",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Shawn Stinson, M.D.
• Sydney Stinson, LISW-CP
• Kimberly Stites, CNM
• Nathaniel Carl Stocker, APRN
• Ryan Alexander Stocks, PA-C
• Stockton Family & Cosmetic Dentistry PA
• Ruges F Stockton
• Tamara Webster Stockton, DDS
• Matthew Horst Stodghill, MD
• Brian Douglas Stogner Jr., MD

• General Practice Dentistry in Columbia, SC
• Providers in Columbia, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.