Scott H Stoller, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

SC3353 Issued in SC

Practice address

132 Milestone Way
Greenville, SC 29615

Phone

(864) 288-6404

Fax

(864) 288-2515

NPI assigned

Sep 22, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 20, 2022 through Apr 20, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Carolina Dental Group

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1952570103
  NPD (past)
• Carolina Headache Center

  • Case Management Agency
  • Greenville, SC
  • NPI 1336564988
  NPD (past)
• Sweet Dreams Nurse Anesthesiology of SC LLC

  • Certified Registered Nurse Anesthetist
  • Daniel Island, SC
  • NPI 1750713699
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386743300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MILESTONE WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29615",
            "telephone_number": "864-288-6404",
            "fax_number": "864-288-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MILESTONE WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29615",
            "telephone_number": "864-288-6404",
            "fax_number": "864-288-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLER",
        "first_name": "SCOTT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "SC3353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Massey Stokes, NURSE PRACTITIONER
• Madison Elizabeth Stolarski, SLP-CF
• Anne Mukulu Stollberg, APRN, FNP-BC
• Kevin J Stoller, DMD
• Scott Stoller, NRP
• Stone Plaza @ Mallard St.
• Brianna Stone, RD, LD, CDE
• Heather Neal Stone, LISW CP
• Katie Privett Stone, PA-C
• Terrell Lee Stone, MD

• Dentist in Greenville, SC
• Providers in Greenville, 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 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.