Stephanie Irene Drake, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

11199 Issued in SC

Practice address

600 Congaree Rd
Greenville, SC 29607-3518

Phone

(864) 757-8820

NPI assigned

Apr 25, 2022

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

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 and National Provider Directory roles.

• Sea Glass Periodontics of Greenville

  • Periodontics
  • Greenville, SC
  • NPI 1568084408
  NPD

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1376287441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CONGAREE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073518",
            "telephone_number": "864-757-8820",
            "fax_number": "864-751-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CONGAREE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073518",
            "telephone_number": "864-757-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "STEPHANIE",
        "middle_name": "IRENE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "11199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Ryland T. Traynham, DDS, PA
• Keianna C Drain
• Carreen Elizabeth Drake, M.D.
• Kory Drake, DO
• Michael Thomas Drake, M.D.
• Erin Drakeley
• Carly Elizabeth Drasny, M.D.
• Leslie K Drees, RN
• Chelsea Nicole Drennan, PHARMD
• Caitlin Stefanie Drescher, M.D.

• Periodontics in Greenville, SC
• Providers in Greenville, SC by specialty
• Periodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.