Active NPI
Stephanie Joy Sweeney, DMD
- Dentist
- Savannah, GA
National Provider Identifier
1124258835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN013901
- Practice address
- 836 E 65TH St Ste 11
Savannah, GA 31405-4497 - Phone
- (912) 355-8821
- NPI assigned
- Jul 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN013901 | GA | Primary |
| Dentist | 122300000X | 9236 | NC |
Addresses
Primary practice location
836 E 65TH St Ste 11
Savannah, GA 31405-4497
Mailing address
836 E 65TH St Ste 11
Savannah, GA 31405-4497
Phone (912) 355-8821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN013901 | GA | MD | Dentist |
| 9236 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SD Dental LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Savannah, GA
- NPI 1104447309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1124258835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 E 65TH ST STE 11",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054497",
"telephone_number": "912-355-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 E 65TH ST STE 11",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054497",
"telephone_number": "912-355-8821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEENEY",
"first_name": "STEPHANIE",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-16",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN013901",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "9236",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.