PRACHI SHRIDHAR SONTAKKE (NPI# 1124452636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124452636 |
| Entity Type | Individual |
| Full Name | PRACHI SHRIDHAR SONTAKKE |
| Credential | DMD |
| Practice Address |
1505 Ebenezer Rd Rock Hill SC 29732-1806 |
| Practice Telephone | 8574130948 |
| Mailing Telephone | 8574130948 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 8845 | SC | Dental Providers |
| N | 122300000X | Dentist | DN1856394 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZX8845 | 05 |
| Street Address |
1505 EBENEZER RD |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357109 | Lang Sa Thach | Dentist | 1505 Ebenezer Rd, Rock Hill, SC 29732-1806 | 2020-08-21 |
| 1992211007 | Apex Dental Pa | Dentist | 1505 Ebenezer Rd, Rock Hill, SC 29732-1806 | 2017-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366087371 | Rock Hill Modern Dentistry, PC | Dentist | 128 S Herlong Ave Ste 120, Rock Hill, SC 29732-1156 | 2019-11-13 |
| 1194106062 | Matthew Howell | Dentist | 516 Fenton Pl, Rock Hill, SC 29732-8691 | 2015-06-16 |
| 1992083331 | Huy Vu | Dentist | 744 Arden Ln Ste 150, Rock Hill, SC 29732 | 2011-08-03 |
| 1629379177 | Affordable Dentures - Rock Hill, P.C. | Dentist | 2441 Cherry Rd, Suite B, Rock Hill, SC 29732-2171 | 2010-11-14 |
| 1598091167 | Aisha Moore | Dentist | 636 Crown Pointe Lane, Suite 105, Rock Hill, SC 29730-4993 | 2009-11-02 |
| 1497911341 | Michael Paul O'neill | Dentist | 2391 Dave Lyle Blvd, Suite 101, Rock Hill, SC 29730-8237 | 2008-07-30 |
| 1366605214 | Leah Quirita Walden | Dentist | 2022 Cherry Road, Rock Hill, SC 29702 | 2008-07-09 |
| 1164697405 | Dr. Tracy L. Durant, Inc. | Dentist | 1125 Anderson Rd N, Sutie 104, Rock Hill, SC 29730-2776 | 2008-04-28 |
| 1275702979 | Anna M. Chacknes Dmd Pa | Dentist | 1447 Ebenezer Rd, Rock Hill, SC 29732-2338 | 2008-02-27 |
| 1164628491 | Matthew L Hubis | Dentist | 652 Herrons Ferry Rd Unit 105, Rock Hill, SC 29730-0185 | 2007-06-24 |
| Find all providers in ROCK HILL | ||||
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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.