Seanna Muire Mattison, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8865 Issued in SC

Practice address

51 Station CT Ste C
Edisto, SC 29438-3012

Phone

(843) 869-3368

NPI assigned

Jun 16, 2009

Last updated

Sep 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Daniel Island Family Dental

  • General Practice Dentistry
  • Daniel Island, SC
  • NPI 1174254288
  NPD Authorized official
• Edisto Dental Associates of SC, LLC

  • Exclusive Provider Organization
  • Edisto Island, SC
  • NPI 1386891463
  NPD (past)

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1356578462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 STATION CT STE C",
            "city": "EDISTO",
            "state": "SC",
            "postal_code": "294383012",
            "telephone_number": "843-869-3368",
            "fax_number": "843-869-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 STATION CT STE C",
            "city": "EDISTO",
            "state": "SC",
            "postal_code": "294383012",
            "telephone_number": "843-869-3368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Seven Farms Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Daniel Island",
            "state": "SC",
            "postal_code": "294928500",
            "country_code": "US",
            "telephone_number": "843-410-4912",
            "fax_number": "843-410-4913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "SEANNA",
        "middle_name": "MUIRE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen McAbee Yeargin, D.M.D.

• General Practice Dentistry in Edisto, SC
• Providers in Edisto, 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 Sep 28, 2021; 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.