DR. JASON ERVIN PRESCOTT (NPI# 1508016825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508016825 |
| Entity Type | Individual |
| Full Name | DR. JASON ERVIN PRESCOTT |
| Credential | DMD |
| Practice Address |
1051 Johnnie Dodds Blvd Ste A Mount Pleasant SC 29464-3100 |
| Practice Telephone | 8433889690 |
| Practice Fax Number | 8433889703 |
| Mailing Telephone | 8433889690 |
| Mailing Fax Number | 8433889703 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4379 | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831218171 | Jason Alan Prescott | Optometrist | 16535 Southwest Fwy, 790, Sugar Land, TX 77479-2321 | 2007-03-28 |
| 1740336825 | Jason Andrew Prescott | Counselor | 3206 Lafayette Ave, Saint Louis, MO 63104-1312 | 2007-01-25 |
| 1932383106 | Jason David Prescott | Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2007-12-24 |
| Street Address |
1051 JOHNNIE DODDS BLVD STE A |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29464-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| 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 |
|---|---|---|---|---|
| 1851906028 | Carolina Park Family Dentistry LLC | Dentist | 3520 Park Avenue Blvd., Suite 100, Mount Pleasant, SC 29466-2946 | 2020-09-14 |
| 1801351242 | Dan P Mccauley Dds Pa | Dentist | 1603 North Jefferson Avenue, Mount Pleasant, TX 75455 | 2019-02-08 |
| 1760956619 | Madison Culler, D.m.d., P.a. | Dentist | 211 Simmons Street, Mount Pleasant, SC 29412 | 2019-01-14 |
| 1457824054 | Bella Smiles-mt. Pleasant Pllc | Dentist | 1401 S Jefferson Ave Ste 4, Mount Pleasant, TX 75455-5647 | 2019-01-07 |
| 1043661614 | Matthew Benjamin Wettach | Dentist | 501 S White St Ste 28, Mount Pleasant, IA 52641-2600 | 2016-06-24 |
| 1033404124 | David Allan Bodie | Dentist | 929 Bowman Rd Ste 100, Mount Pleasant, SC 29464-3237 | 2011-06-16 |
| 1871760298 | Virginia L Gregory | Dentist | 434 W Coleman Blvd, Mount Pleasant, SC 29464-3437 | 2008-05-14 |
| 1679773899 | Coastal Family Dentistry | Dentist | 3098 Highway 17 N, Mount Pleasant, SC 29466-9315 | 2007-07-25 |
| 1215155817 | Mary Bell Maltezos | Dentist | 3070 N Highway 17 Ste 101, Mount Pleasant, SC 29466-9300 | 2007-04-22 |
| 1134346349 | Clabara Ward | Dentist | 1500 Shadywood Ln, Mount Pleasant, TX 75455-5630 | 2007-04-19 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29464 |
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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.