DR. SHANNON BROCK WILSON (NPI# 1477681146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477681146 |
| Entity Type | Individual |
| Full Name | DR. SHANNON BROCK WILSON |
| Credential | DMD |
| Practice Address |
19 Shirmadon Dr Honea Path SC 29654-1533 |
| Practice Telephone | 8643692966 |
| Practice Fax Number | 8643690666 |
| Mailing Telephone | 8643692966 |
| Mailing Fax Number | 8643690666 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3886 | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841752425 | Shannon Michelle Wilson | Licensed Practical Nurse | 38 S Thomas Rd Unit B, Tallmadge, OH 44278-2100 | 2019-04-03 |
| 1336617398 | Shannon Wilson | Registered Nurse | 228 19th St Sw, Rochester, MN 55902-2327 | 2018-11-07 |
| 1841711173 | Shannon Wilson | Physical Therapy Assistant | 6102 Easton Rd, Knoxville, TN 37920-6434 | 2017-06-27 |
| 1629417746 | Shannon Marie Wilson | Counselor | 1570 42nd St Ne Ste 2a, Cedar Rapids, IA 52402-3073 | 2013-06-21 |
| 1033402268 | Shannon Lotess Wilson | Licensed Practical Nurse | 16834 127th Ave, 6a, Jamaica, NY 11434-3148 | 2011-05-20 |
| 1013225754 | Shannon Amber Wilson | Social Worker | 3535 N California Ave, Suite F, Peoria, IL 61603-1178 | 2010-09-15 |
| 1043413115 | Shannon Leigh Wilson | Physical Therapy Assistant | 5210 Sarah Lane, Fredericksburg, VA 22407 | 2007-06-07 |
| 1730714320 | Shannon Elise Wilson | Behavior Technician | 5333 Mission Center Rd Ste 110, San Diego, CA 92108-1347 | 2020-03-04 |
| 1396225843 | Shannon A Wilson | Behavior Technician | 2733 Quarry Heights Way, Baltimore, MD 21209-1080 | 2018-08-15 |
| 1003304171 | Shannon Wilson | Assistant Behavior Analyst | 550 N Reo St, Tampa, FL 33609-1061 | 2018-04-24 |
| Street Address |
19 SHIRMADON DR |
| City | HONEA PATH |
| State | SC |
| Zip Code | 29654-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548786106 | Jenna Bellflower Pitts | Pharmacist | 408-b East Greer St, Honea Path, SC 29654 | 2017-08-16 |
| 1568836757 | Jessica Chandler | Home Health Aide | 512 W Greer St, Honea Path, SC 29654 | 2015-11-25 |
| 1699024786 | Jane Smith Davis | Pharmacist | 408b East Greer St, Honea Path, SC 29654 | 2012-09-05 |
| 1861613473 | Ben W Osterkamp | Chiropractor | 26 North Main Street, Suite B, Honea Path, SC 29654 | 2007-05-01 |
| 1073616751 | South Carolina Cvs Pharmacy LLC | Pharmacy | 408 B E Greer St, Honea Path, SC 29654 | 2006-09-07 |
| 1134176266 | Thomas Malcolm Dixon | Dentist | 512 East Greer Street, Honea Path, SC 29654 | 2006-05-27 |
| 1417509852 | Joshua Carter | Pharmacist | 408 B E Greer St, Honea Path, SC 29654 | 2019-07-16 |
| 1801146311 | Jean Shuler Parker | Pharmacist | 408 B E Greer St, Honea Path, SC 29654 | 2012-09-12 |
| 1154971356 | Felix Cobb | Technician | 503 Harper St, Honea Path, SC 29654-1027 | 2019-09-19 |
| 1700960564 | Honea Path Ems | Ambulance | 6 Gaines Rd, Honea Path, SC 29654-1306 | 2006-10-25 |
| Find all providers in zip 29654 | ||||
| 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 |
|---|---|---|---|---|
| 1659561439 | Honea Path Family Dentistry, Pa | Dentist | 322 N Shirley Ave, Honea Path, SC 29654-1636 | 2007-07-27 |
| 1972665404 | David Rice Boyd | Dentist | 322 Shirley Ave, Honea Path, SC 29654-1636 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558057 | Roberto Selonk Buechele | Dentist | 460 Killian Rd Ste 1, Columbia, SC 29203-9742 | 2020-11-02 |
| 1396342762 | Leonard James Cochrane IIi | Dentist | 150 Bee St Apt 706, Charleston, SC 29401-5706 | 2020-10-07 |
| 1134735129 | Kidz Planet Pediatric Dentistry - Sda Pa | Dentist | 960 Ribaut Rd Ste 3, Beaufort, SC 29902-5434 | 2020-09-16 |
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1922624618 | Todays Dental At Lexington LLC | Dentist | 458 Old Cherokee Rd Ste 100, Lexington, SC 29072-6971 | 2020-06-18 |
| 1912522426 | Andrea Ballengee | Dentist | 4405 Highway 17, Murrells Inlet, SC 29576-5097 | 2020-06-10 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1750919718 | Destination Dental LLC | Dentist | 155 Deacon Tiller Ct Ste 101, Duncan, SC 29334-8880 | 2020-03-27 |
| 1194360024 | Affordable Dentures & Implants - Orangeburg, P.C. | Dentist | 1532 Saint Matthews Rd, Orangeburg, SC 29118-2437 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
| City | HONEA PATH |
| Zip Code | 29654 |
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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.