Stephen Edward Clary, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4453 772 OS Issued in SC

Practice address

9310 Two Notch Rd
Northeast Oral Surgery
Columbia, SC 29223-6416

Phone

(803) 699-5900

Fax

(803) 788-9036

NPI assigned

Apr 4, 2006

Last updated

Feb 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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 Dec 1, 2012 through Dec 1, 2026

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Camden Oral Surgery & Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Camden, SC
  • NPI 1164990164
  Authorized official Same address or phone
• Northeast Oral & Maxillofacial Surgery Center

  • Oral and Maxillofacial Pathology Dentistry
  • Columbia, SC
  • NPI 1700916822
  NPD (past)
• Michael K Parsons DDS PC

  dba Midwest Oral and Maxillo Facial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • O'Fallon, MO
  • NPI 1457484222
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1700848827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 TWO NOTCH RD",
            "address_2": "NORTHEAST ORAL SURGERY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236416",
            "telephone_number": "803-699-5900",
            "fax_number": "803-788-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 TWO NOTCH RD",
            "address_2": "NORTHEAST ORAL SURGERY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236416",
            "telephone_number": "803-699-5900",
            "fax_number": "803-788-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARY",
        "first_name": "STEPHEN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "7629",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "4453 772 OS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Ancrum Clarkson, M.D
• Lola B Clarkson, MD
• Zack C Clarkson, OD
• Anna Beth Claros
• Matthew Todd Clary, M.D.
• Janssen Claudio, PHARMD
• Tammy Clauss
• John Clavet, M.D.
• Clay B. Dyar, III, D.M.D.
• Clay P Drummond (Columbia Psychological Associates)

• Oral and Maxillofacial Surgery (Dentist) in Columbia, SC
• Providers in Columbia, SC by specialty
• Oral and Maxillofacial Surgery (Dentist) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.