DR. JAMES BALLENTINE STUCKEY SR. (NPI# 1043246135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043246135 |
| Entity Type | Individual |
| Full Name | DR. JAMES BALLENTINE STUCKEY SR. |
| Credential | D.M.D. |
| Practice Address |
512 Glen Laurel Dr Easley SC 29642-2011 |
| Mailing Address |
512 Glen Laurel Dr P.o.box 1445 Easley SC 29642-2011 |
| Practice Telephone | 8648598503 |
| Mailing Telephone | 8648598503 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2212 | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669752770 | James Edwin Stuckey II | Technician, Other | 1324 Common St Ste 304, New Braunfels, TX 78130-3566 | 2011-08-19 |
| 1063568038 | James Warren Stuckey | Optometrist | 1155 Highway 65 North, Conway, AR 72032-3500 | 2007-01-25 |
| 1396243408 | James Stuckey | Behavioral Analyst | 1001 W Cypress Creek Rd Ste 120, Fort Lauderdale, FL 33309-1947 | 2018-01-24 |
| Street Address |
512 GLEN LAUREL DR |
| City | EASLEY |
| State | SC |
| Zip Code | 29642-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316911 | Marlesia Hall | Licensed Practical Nurse | 106 Teal Dr, Easley, SC 29642 | 2020-11-06 |
| 1437648904 | Onsite Healthcare and Wellness LLC | Nurse Practitioner | 217 Sheffield Ct, Easley, SC 29642 | 2018-05-09 |
| 1477073476 | Aubre True | Specialist/Technologist | 124 Century Oaks Dr, Easley, SC 29642 | 2017-06-21 |
| 1912439944 | First Physical Therapy, LLC | Clinic/Center | 3613 Sc 153, Suite 200, Powdersville, SC 29642 | 2017-03-29 |
| 1801146485 | Sara Michele Calvert | Pharmacist | 1063 South Pendleton Street, Easley, SC 29642 | 2012-09-11 |
| 1023365251 | Heather Lilley | Pharmacist | 5251 Calhoun Memorial Hwy, Easley, SC 29642 | 2012-08-07 |
| 1942590088 | Mallorie Bryan Costner | Speech-Language Pathologist | 507 Huntington Road, Easley, SC 29642 | 2011-04-11 |
| 1225352339 | Jon Lawrence Rhoden | Pharmacist | 320 Watson Road, Easley, SC 29642 | 2010-03-18 |
| 1386865350 | Gordon David Dannelly | Dentist | 701 Brushy Creek Road, Easley, SC 29642 | 2007-05-01 |
| 1538280755 | Michelle Leigh Tucker | Obstetrics & Gynecology | 1351 Crestview Road, Easley, SC 29642 | 2007-04-03 |
| Find all providers in zip 29642 | ||||
| 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 |
|---|---|---|---|---|
| 1750949715 | Sara Portwood | Dentist | 9 Southern Center Ct Ste B, Easley, SC 29642-1533 | 2019-06-04 |
| 1780159129 | Pasui Family Dentistry - Sda LLC | Dentist | 2101 Powdersville Rd, Easley, SC 29642-8920 | 2018-10-12 |
| 1780012591 | Dental Professionals of Sc, PC | Dentist | 5075 Calhoun Memorial Hwy, Easley, SC 29640-3837 | 2013-10-15 |
| 1659507952 | Sarah Elizabeth Proulx | Dentist | 227 South Pendleton Street, Suita A, Easley, SC 29640 | 2009-06-02 |
| 1225242977 | Peter C Holsen | Dentist | 1617 E Main St, Easley, SC 29640-3791 | 2007-05-10 |
| 1427279843 | Heather Heaton Barker | Dentist | 701 Brushy Creek Rd, Easley, SC 29642-2201 | 2007-05-01 |
| 1598881211 | Glenn R. Edens | Dentist | 104 Franklin Square Way, Easley, SC 29642-3715 | 2007-03-22 |
| 1215061106 | Willis Ely Hawkins IIi | Dentist | 105 Fleetwood Dr, Easley, SC 29640-2019 | 2007-03-15 |
| 1689723678 | Stephen W. Durham | Dentist | 223 Dayton School Rd, Suite 103, Easley, SC 29642-1447 | 2007-01-09 |
| 1063579282 | David Brian Beemer | Dentist | 103 Wyatt Ave, Easley, SC 29640-2952 | 2007-01-03 |
| Find all providers in EASLEY | ||||
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| 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.