Lucius Franklin Wates, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1904 Issued in SC

Practice address

509 Thurgood Marshall Hwy
Kingstree, SC 29556-4107

Phone

(843) 355-9295

Fax

(843) 355-9296

NPI assigned

Jan 6, 2006

Sex

Male

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

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Lucius F Wates DMD PA

  • General Practice Dentistry
  • Kingstree, SC
  • NPI 1427178185
  NPD (past) Authorized official
• Kingstree Smiles

  • Dental Clinic/Center
  • Kingstree, SC
  • NPI 1205312543
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245218593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 THURGOOD MARSHALL HWY",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295564107",
            "telephone_number": "843-355-9295",
            "fax_number": "843-355-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 THURGOOD MARSHALL HWY",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295564107",
            "telephone_number": "843-355-9295",
            "fax_number": "843-355-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATES",
        "first_name": "LUCIUS",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "1904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z19043",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nagasumanth Vemula, MD
• Samantha Jenkins Vereen, MASTERS
• Vital Aging of Williamsburg County, Inc.
• Frances Wadford, RN
• Donya Demesha Wallace, LPC
• Kelsey Watson, OTR/L
• Jamie Roberts Webb, LPN
• Joseph Edmund Whetsell, RESPIRATORY THERAPIS
• Madison Graham Wiggins, PA-C
• Shawntoya Wilkerson

• Dentist in Kingstree, SC
• Providers in Kingstree, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.