MAE E JESNECK (NPI# 1033197413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033197413 |
| Entity Type | Individual |
| Full Name | MAE E JESNECK |
| Credential | DDS, LCSW |
| Practice Address |
737 S Main St Society Hill SC 29593-8972 |
| Mailing Address |
Po Box 1090 Hartsville SC 29551-1090 |
| Practice Telephone | 8433783000 |
| Practice Fax Number | 8433789869 |
| Mailing Telephone | 8438570111 |
| Mailing Fax Number | 8438570206 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2017-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8667 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZX8667 | 05 |
| Street Address |
737 S MAIN ST |
| City | SOCIETY HILL |
| State | SC |
| Zip Code | 29593-8972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295711612 | Sean G Boynes | Dentist | 737 S Main St, Society Hill, SC 29593-8972 | 2005-12-17 |
| 1861976839 | Travis Andre Russell | Dentist | 737 S Main St, Society Hill, SC 29593-8972 | 2018-09-17 |
| 1679067045 | Crystal Rosser | Dentist | 737 S Main St, Society Hill, SC 29593-8972 | 2018-06-19 |
| 1497247241 | Ludie Kathleen Floyd-moore | Social Worker | 737 S Main St, Society Hill, SC 29593-8972 | 2018-06-06 |
| 1568963593 | Brandi Rollins Hair | Dentist | 737 S Main St, Society Hill, SC 29593-8972 | 2018-02-25 |
| 1376994335 | Asya Penzo-shumard | Counselor | 737 S Main St, Society Hill, SC 29593-8972 | 2016-06-30 |
| 1932521218 | Levina Brown | Nurse Practitioner | 737 S Main St, Society Hill, SC 29593-8972 | 2014-01-06 |
| 1760821078 | Lora C, Chavis | Counselor | 737 S Main St, Society Hill, SC 29593-8972 | 2013-06-19 |
| 1730480971 | Bradley D Burgess | Counselor | 737 S Main St, Society Hill, SC 29593-8972 | 2010-11-04 |
| 1275785917 | Rose Laney | Social Worker | 737 S Main St, Society Hill, SC 29593-8972 | 2008-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831620095 | Caresouth Carolina, Inc | Dentist | 741 S Main Street, Society Hill, SC 29593 | 2017-03-21 |
| 1174833511 | Caresouth Carolina Inc | Dentist | 737 S Main Street, Society Hill, SC 29593 | 2010-10-19 |
| 1366456634 | Society Hill Pharmacy | Durable Medical Equipment & Medical Supplies | 743 S Main St, Society Hill, SC 29593 | 2006-07-29 |
| 1285172452 | Society Hill Rescue Squad | Ambulance | 280 S Main St, Society Hill, SC 29593 | 2017-02-07 |
| 1669837936 | Society Hill Rescue Squad | Ambulance | 280 S Main St, Society Hill, SC 29593 | 2015-12-30 |
| 1154742856 | Society Hill Rescue Squad | Ambulance | 280 South Main Street, Society Hill, SC 29593 | 2013-12-23 |
| 1851938260 | Barbara Squire | Technician | 205 Keith Dr, Society Hill, SC 29593-8968 | 2019-12-04 |
| 1487142956 | Caresouth Carolina Inc | Pharmacy | 743 S Main St, Society Hill, SC 29593-8972 | 2018-04-30 |
| 1548300718 | Active Sc Two, Inc. | Clinic/Center | 1118 S Main St, Society Hill, SC 29593-8989 | 2007-02-07 |
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679067045 | Crystal Rosser | Dentist | 737 S Main St, Society Hill, SC 29593-8972 | 2018-06-19 |
| 1568963593 | Brandi Rollins Hair | Dentist | 737 S Main St, Society Hill, SC 29593-8972 | 2018-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564046 | Leishman Dental | Dentist | 121 N Pine St, Batesburg Leesville, SC 29006-1974 | 2020-10-07 |
| 1265039754 | Ravi Bhupen Patel | Dentist | 1755 Central Park Rd, Unit 1107, Charleston, SC 29412-2846 | 2020-10-07 |
| 1447857289 | Rick & Pamela Dhillon Dmd - Sda LLC | Dentist | 3115a Brushy Creek Rd, Greer, SC 29650-0903 | 2020-10-05 |
| 1598372864 | Dental Professional of South Carolina, P.C. | Dentist | 1417 Folly Rd Ste 402, Charleston, SC 29412-9737 | 2020-09-30 |
| 1043827314 | Dental Professionals of South Carolina, P.C. | Dentist | 1767 Heckle Blvd Ste 102, Rock Hill, SC 29732-1878 | 2020-09-30 |
| 1497361307 | Cane Bay Family Dentistry - Goose Creek LLC | Dentist | 129 Plantation North Blvd, Unit D, Goosecreek, SC 29445-2944 | 2020-09-17 |
| 1851906028 | Carolina Park Family Dentistry LLC | Dentist | 3520 Park Avenue Blvd., Suite 100, Mount Pleasant, SC 29466-2946 | 2020-09-14 |
| 1952915027 | Vdp Okatie LLC | Dentist | 10 William Pope Drive, Suite #2, Okatie, SC 29909 | 2020-09-04 |
| 1881208296 | Amanda Ho Van Garrett | Dentist | 122 S Goose Creek Blvd Ste A, Goose Creek, SC 29445-3136 | 2020-09-02 |
| 1871107409 | Ashley Czechner | Dentist | 11990 Highway 17 Byp Ste 8, Murrells Inlet, SC 29576-9379 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | SOCIETY HILL |
| Zip Code | 29593 |
Please comment or provide details below to improve the information on MAE E JESNECK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.